Individual
MRS. MAKENNA GRACE WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 MED TECH PKWY STE 100, JOHNSON CITY, TN 37604-4006
(423) 794-1800
(423) 794-1801
Mailing address
4 TEAGUE CT, JONESBOROUGH, TN 37659-8601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363A00000X
TN
363A00000X
Physician Assistant
Primary
7279
TN
Other
Enumeration date
06/01/2026
Last updated
08/04/2026
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