RAVEN DEDRICK WENTWORTH APRN
NPI 1952352098
Nurse Practitioner - Family in Linden, TN

Q: What is Raven Wentworth's NPI number?

The NPI number for Raven Wentworth is 1952352098. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Q: What is Raven Wentworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Raven Wentworth was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 13, 2006

847 SQUIRREL HOLLOW DR, LINDEN, TN 37096(931) 589-2600 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Raven Dedrick Wentworth Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVEN DEDRICK WENTWORTH APRN (NPI 1952352098) is an individual family provider in Linden, Tennessee, licensed in Tennessee (11711) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1952352098

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRAVEN DEDRICK WENTWORTHCredential: APRN

Location Address847 SQUIRREL HOLLOW DRLinden, TN 37096-6479

Mailing Address847 Squirrel Hollow Dr, Po Box 56Linden, TN 37096-6479 · (931) 589-2600

Phone(931) 589-2600

Sole ProprietorNo

Enumeration DateMay 13, 2006

Last NPPES UpdateNovember 10, 2016

✔ NPI 1952352098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 11711

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License APN11711 (TN)

847 SQUIRREL HOLLOW DR, Linden, TN 37096

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Other Identifiers 2

Medicaid3642779TN

Medicare UPINQ65100TN

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH A PASCHALL APN

Nurse Practitioner (Family)

847 SQUIRREL HOLLOW DR
LINDEN, TN 37096

Perry County (931) 589-2600

KENISHA RENEA HESTER NP-C

Nurse Practitioner (Family)

847 SQUIRREL HOLLOW DR
LINDEN, TN 37096

Perry County (931) 589-2600

WALK-IN MEDICAL CLINIC OF LINDEN PLLC

Nurse Practitioner

847 SQUIRREL HOLLOW DR
LINDEN, TN 37096

Perry County (931) 589-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raven Wentworth's NPI number?

The NPI number for Raven Wentworth is 1952352098. It was assigned to this individual provider in the NPPES registry on May 13, 2006.

Where is Raven Wentworth located?

Raven Wentworth practices at 847 Squirrel Hollow Dr, Linden, TN 37096. The listed phone number is (931) 589-2600.

What is Raven Wentworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Raven Wentworth was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.