| Doctor Name: | MR. DONALD R. POTTER |
| NPI Number: | 1023398682 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-BC |
| License Number: | 180746 |
| Business Practice Address: | 48 Mdos/sgof Unit 5115 Apo, AE - 094615115 |
| Business Phone Number: | 441638528449 |
| Business Fax Number: | |
| Mailing Address: | 48 Mdos/sgof, Unit 5115 APO |
| State: | AE |
| Postal Code: | 094615115 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2011 |
| NPI Last Update Date: | 07/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | 180746 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |