Individual
MRS. WENDY MICHELLE VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
145 W 4TH ST, COOKEVILLE, TN 38501-2447
(931) 783-5582
Mailing address
228 W 4TH ST, COOKEVILLE, TN 38501-2488
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8202
TN
363LA2200X
Adult Health Nurse Practitioner
APN8202
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN8202
ADVANCED PRACTICE NURSE
TN
01
—
RN131459
REGISTERED NURSE
TN
Enumeration date
11/08/2006
Last updated
03/07/2023
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