Provider Demographics
NPI:1871930206
Name:MAYES, WENDY N (NP)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:N
Last Name:MAYES
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:1225 E. WEISGARBER ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909
Mailing Address - Country:US
Mailing Address - Phone:865-584-4747
Mailing Address - Fax:865-584-1363
Practice Address - Street 1:121 FRANK DIGGS ROAD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716
Practice Address - Country:US
Practice Address - Phone:865-457-8840
Practice Address - Fax:865-463-0756
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2013-06-13
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Provider Licenses
StateLicense IDTaxonomies
TN17712363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily