Brooklyn Potter, is a
Licensed Practical Nurse based in White Pine, Tennessee. Brooklyn Potter is licensed to practice in Tennessee (license number 104174) and her current practice location is
1231 Sheila St, White Pine, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 839-6845.
NPI number for Brooklyn Potter is 1902775182 and her current mailing address is 1231 Sheila St, White Pine, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902775182.
Provider's Profile
| Full Name | Brooklyn Potter |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 1231 Sheila St, White Pine, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902775182
- Provider Enumeration Date: 11/04/2025
- Last Update Date: 11/04/2025
Medical Identifiers
Medical identifiers for Brooklyn Potter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902775182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 104174 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brooklyn Potter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brooklyn Potter, 1231 Sheila St, White Pine, TN 37890-3618 Ph: (865) 839-6845 | Brooklyn Potter, 1231 Sheila St, White Pine, TN 37890-3618 Ph: (865) 839-6845 |
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