Individual
TIFFANY HELYN POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1010 S 4TH ST, CANADIAN, TX 79014-3315
(806) 323-8882
(806) 323-6108
Mailing address
1010 S 4TH ST, CANADIAN, TX 79014-3315
(806) 323-8882
(806) 323-6108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
625274
TX
Other
Enumeration date
01/25/2013
Last updated
10/27/2023
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