Individual
KATIE WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
121 NEWPORT TOWNE CTR, NEWPORT, TN 37821-7391
(423) 532-8621
Mailing address
121 NEWPORT TOWNE CTR, NEWPORT, TN 37821-7391
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
40255
TN
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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