Dr Danita Renae Potter, PMHNP | |
518 Durham St, Bastrop, LA 71220-5013 | |
(318) 283-8887 | |
(318) 281-2559 |
Full Name | Dr Danita Renae Potter |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 518 Durham St, Bastrop, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073167573 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 206980 (Louisiana) | Primary |
Entity Name | Morehouse Community Medical Centers Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053373191 PECOS PAC ID: 1254343593 Enrollment ID: O20060703000063 |
Mailing Address | Practice Location Address |
---|---|
Dr Danita Renae Potter, PMHNP Po Box 792, Bastrop, LA 71221-0792 Ph: (318) 283-8887 | Dr Danita Renae Potter, PMHNP 518 Durham St, Bastrop, LA 71220-5013 Ph: (318) 283-8887 |
William Kirk Johnson, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 N Franklin St, Bastrop, LA 71220 Phone: 318-283-8887 | |
Mrs. Tiffany Tolliver-battle, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 420 Gunby Ave, Bastrop, LA 71220 Phone: 318-283-3920 Fax: 318-239-8920 | |
Sharon Mayree Colton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 E Madison Ave, Bastrop, LA 71220 Phone: 318-801-3640 | |
Mrs. Deirdre Kivett Simmons, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 430 S Vine St, Bastrop, LA 71220 Phone: 318-283-3970 | |
Stacey Smith Ogden, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 N. Franklin Street, Bastrop, LA 71220 Phone: 318-283-8887 Fax: 318-281-2559 | |
Mrs. Simone Trahan Mcmillon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 314 North Franklin Street, Bastrop, LA 71221 Phone: 318-283-8887 |