Individual
JENNIFER POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4901 RALEIGH COMMON DR STE 100, MEMPHIS, TN 38128-2478
(901) 572-1801
(901) 730-0683
Mailing address
4901 RALEIGH COMMON DR STE 100, MEMPHIS, TN 38128-2478
(901) 572-1801
(901) 730-0683
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18965
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902367
LICENSE
MS
Enumeration date
07/30/2014
Last updated
02/09/2024
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