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Individual

MELLISSA A. POTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-BC

Contact information

Practice address
142 MALL CHURCH RD, CEDAR BLUFF, VA 24609-7081
(865) 803-8372
Mailing address
407 ORCHARD RD, ELIZABETHTON, TN 37643-4022
(142) 351-2052

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0000027891
TN
363L00000X
Nurse Practitioner
0024180872
VA

Other

Enumeration date
03/10/2021
Last updated
03/10/2021
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