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Wesley Allen Pettiford, FNP-C
Family Nurse Practitioner in Clinton, Tennessee
NPI 1740928803

Wesley Allen Pettiford is a Family Nurse Practitioner based in Andersonville, TN and is specialized in Family. Wesley Allen Pettiford practices in Clinton, TN and has the professional credentials of FNP-C. The NPI Number for Wesley Allen Pettiford is 1740928803 and holds a License No. 31793 (Tennessee).

The current practice location address for Wesley Allen Pettiford is 102 S Charles G Seivers Blvd, Clinton, TN and can be reached out via phone at 865-457-4702.

Location: 102 S Charles G Seivers Blvd, Clinton, TN, 37705-3032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740928803
Provider Name
Wesley Allen Pettiford
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
102 S Charles G Seivers Blvd, Clinton, TN, 37705-3032
Phone Number
865-457-4702
Fax Number
Provider Enumeration Date
05/26/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q074406 05 TN
institution
Provider Business Practice Location Address Details
Address
102 S Charles G Seivers Blvd
City
Clinton
State
Tennessee
Zip
37716-3916
Phone Number
865-457-4702
Fax Number
person
Provider Business Mailing Address Details
Address
102 S Charles G Seivers Blvd
City
Clinton
State
Tennessee
Zip
37716-3916
Phone Number
865-457-4702
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
31793 (Tennessee)
Definition
Definition to come...
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