Individual
MRS. WENDY MICHELLE VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
127 N OAK AVE # A, COOKEVILLE, TN 38501-2435
(931) 783-2361
(931) 783-5215
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
(931) 783-2728
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8202
TN
363LA2200X
Adult Health Nurse Practitioner
8202
TN
363LA2200X
Adult Health Nurse Practitioner
APN8202
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8058773
BCBST
TN
01
—
APN8202
ADVANCED PRACTICE NURSE
TN
05
—
Q034126
—
TN
01
—
RN131459
REGISTERED NURSE
TN
Enumeration date
11/08/2006
Last updated
06/10/2026
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