Waddell, Patricia Annette

Waddell, Patricia Annette is an individual health care provider with primary practice located at 657 E Broadway Blvd Suite C, Jefferson City TN 37760-4948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Waddell, Patricia Annette can be contacted via phone (865) 475-9062.

Contact Information

Primary practice address
657 E Broadway Blvd Suite C Jefferson City TN 37760-4948
Phone: (865) 475-9062
Fax: (423) 475-9063
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 13234 Tennessee

Profile Details

NPI number 1689846271
LBN Legal business name Waddell, Patricia Annette
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2008
Last updated Jan 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689846271 NPPES
Tennessee MEDICAID 3341753

Popular Providers