Kristie Potter, FNP-BC | |
143 Henslee Dr, Dickson, TN 37055-2092 | |
(615) 441-5580 | |
Not Available |
Full Name | Kristie Potter |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 143 Henslee Dr, Dickson, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063285427 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 213512 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 35085 (Tennessee) | Primary |
Entity Name | The Little Clinic Of Tennessee Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487848800 PECOS PAC ID: 4688762800 Enrollment ID: O20080326000339 |
Mailing Address | Practice Location Address |
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Kristie Potter, FNP-BC 2620 Elm Hill Pike, Nashville, TN 37214-3108 Ph: () - | Kristie Potter, FNP-BC 143 Henslee Dr, Dickson, TN 37055-2092 Ph: (615) 441-5580 |
Heather Nicole Mangrum, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Crestview Park Dr Ste 2, Dickson, TN 37055 Phone: 615-740-5233 Fax: 615-740-5226 | |
Ms. Jennifer Catherine Gorzny, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 758 Highway 46 S, Dickson, TN 37055 Phone: 615-446-2708 Fax: 615-441-5121 | |
Ms. Rose Dawn Widener, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7105 Ramsey Way, Dickson, TN 37055 Phone: 615-446-4999 Fax: 615-326-0099 | |
Jessica Dawn Lane, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Creekside Dr, Dickson, TN 37055 Phone: 615-441-6140 | |
Mrs. Kristina D Thornberry, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 143 Henslee Dr, Dickson, TN 37055 Phone: 615-441-5580 | |
Mrs. Elise Howorth Bobrowski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Highway 70 E Ste D, Dickson, TN 37055 Phone: 615-441-4503 Fax: 615-441-4575 | |
Deandra Latisha Smith, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Ramsey Way, Dickson, TN 37055 Phone: 901-643-0993 |