Potter, Allen

Potter, Allen is an sole proprietor health care provider with primary practice located at 42 Medical Group 300 S. Twining St Bldg 760, Maxwell Afb AL 36112-6027. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Potter, Allen can be contacted via phone (334) 953-5117.

Contact Information

Primary practice address
42 Medical Group 300 S. Twining St Bldg 760 Maxwell Afb AL 36112-6027
Phone: (334) 953-5117
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11001842 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 11001842 Florida

Profile Details

NPI number 1841817798
LBN Legal business name Potter, Allen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2020
Last updated Mar 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1841817798 NPPES
Florida MEDICAID 1841817798

Popular Providers