Healthcare Provider Details

I. General information

NPI: 1346521911
Provider Name (Legal Business Name): BARBARA JEAN POTTS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2011
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 SITKA RD
MILAN TN
38358-6271
US

IV. Provider business mailing address

109 SITKA RD
MILAN TN
38358-6271
US

V. Phone/Fax

Practice location:
  • Phone: 731-327-6223
  • Fax: 731-201-5465
Mailing address:
  • Phone: 731-327-6223
  • Fax: 731-201-5465

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number39974
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN0000165324
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: