WENDY KAY DODD APRN
NPI 1821590993
Nurse Practitioner - Family in East Ridge, TN
Active since March 05, 2018
About Wendy Kay Dodd Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WENDY KAY DODD APRN (NPI 1821590993) is an individual family provider in East Ridge, Tennessee, licensed in Tennessee (24089) and active in the NPI registry since March 2018.
NPPES Registry Identity
NPI1821590993
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameWENDY KAY DODDCredential: APRN
Location Address1508 TOMBRAS AVEEast Ridge, TN 37412-2720
Mailing Address1508 Tombras AveEast Ridge, TN 37412-2720 · (423) 867-4969 · Fax (423) 867-4971
Phone(423) 867-4969
Fax(423) 867-4971
Sole ProprietorNo
Enumeration DateMarch 5, 2018
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1821590993 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 24089
1508 TOMBRAS AVE, East Ridge, TN 37412
Other Names 1
Former Name (1)Wendy Kay Green Np
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821590993, enumerated as an "individual" on March 05, 2018.
The provider is located at 1508 TOMBRAS AVE EAST RIDGE, TN 37412 and the phone number is (423) 867-4969.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
