Provider Demographics
NPI:1518356013
Name:POTTER, TOMORROW ATKINS (NP)
Entity Type:Individual
Prefix:
First Name:TOMORROW
Middle Name:ATKINS
Last Name:POTTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1960
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72403-1960
Mailing Address - Country:US
Mailing Address - Phone:870-972-5437
Mailing Address - Fax:870-934-3663
Practice Address - Street 1:1150 E MATTHEWS AVE
Practice Address - Street 2:STE 101
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-4346
Practice Address - Country:US
Practice Address - Phone:870-972-5437
Practice Address - Fax:870-934-3663
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004206363LP0200X
TNAPN19299363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR208371758Medicaid