Individual
JACOB RAIN POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(931) 338-4317
Mailing address
812 GREENWOOD AVE, CLARKSVILLE, TN 37040-4068
(931) 338-4317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
269216
TN
Other
Enumeration date
06/03/2025
Last updated
06/17/2025
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