MR. ALLEN POTTER FNP
NPI 1841817798
Nurse Practitioner - Family in Hurlburt Afb, FL

Active since June 26, 2020
1 SOMDG, 113 LIELMANIS AVE, HURLBURT AFB, FL 32544(850) 881-2569 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Mar 15, 2023, May 12, 2021 and 1 more (4 updates tracked since 2020).

About Mr. Allen Potter Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALLEN POTTER FNP (NPI 1841817798) is an individual family provider in Hurlburt Afb, Florida, licensed in Florida (11001842) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1841817798
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ALLEN POTTERCredential: FNP
Location Address1 SOMDG, 113 LIELMANIS AVEHurlburt Afb, FL 32544
Mailing Address1468 Wellington CirRockledge, FL 32955-4321 · (321) 350-2045
Sole ProprietorYes
Enumeration DateJune 26, 2020
Last NPPES UpdateJuly 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 15, 2024
NPI 1841817798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in FL · 11001842 Licensed in FL · APRN11001842
1 SOMDG, Hurlburt Afb, FL 32544

Other Identifiers 1

Medicaid1841817798FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1 SOMDG, 113 LIELMANIS AVE
HURLBURT FIELD, FL 32544

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allen Potter's NPI number?

The NPI number for Allen Potter is 1841817798. It was assigned to this individual provider in the NPPES registry on June 26, 2020.

Where is Allen Potter located?

Allen Potter practices at 1 Somdg 113 Lielmanis Ave, Hurlburt Afb, FL 32544. The listed phone number is (850) 881-2569.

What is Allen Potter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Allen Potter was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.