Provider Demographics
NPI:1043943871
Name:POTTS, MARISSA BAYSINGER (FNP-C)
Entity Type:Individual
Prefix:DR
First Name:MARISSA
Middle Name:BAYSINGER
Last Name:POTTS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7252 HIGHWAY 70 S APT 1105
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2859
Mailing Address - Country:US
Mailing Address - Phone:618-964-5319
Mailing Address - Fax:
Practice Address - Street 1:1313 21ST AVENUE SOUTH
Practice Address - Street 2:808-J OXFORD HOUSE
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232
Practice Address - Country:US
Practice Address - Phone:615-875-1448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily