Potter, Sandra

Potter, Sandra is an individual health care provider with primary practice located at 238 Summar Dr , Jackson TN 38301-3906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Potter, Sandra can be contacted via phone (731) 935-8200.

Contact Information

Primary practice address
238 Summar Dr Jackson TN 38301-3906
Phone: (731) 935-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4017 Tennessee

Profile Details

NPI number 1164564738
LBN Legal business name Potter, Sandra
Credentials SOCIAL WORKER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated May 18th, 2012 - about 12 years ago

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.

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