Katherine E Wyatt
Nurse Practitioner
2863 Highway 45 Byp
Jackson
, Tennessee 38305-3618
Katherine E Wyatt
Nurse Practitioner
2863 Highway 45 Byp
Jackson
, Tennessee 38305-3618
(731) 425-5783
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Katherine E Wyatt
- Po Box 400
- Jackson, TN
- Zip : 38302-0400
- Fax : (731) 425-5783
- Phone : (731) 425-5752
Second Address
- Katherine E Wyatt
- 2863 Highway 45 Byp
- Jackson, TN
- Zip : 38305-3618
- Fax : (731) 664-1378
- Phone : (731) 664-1375
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN20925 | TN |
National Provider Identifier
| NPI | 1003273814 |
|---|---|
| Provider Name | Katherine E Wyatt |
| First Address | Jackson, TN 38302-0400 |
| Second Address | Jackson, TN 38305-3618 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/01/2016 |
| Last Update Date | 08/02/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.