Provider Demographics
NPI:1104168913
Name:STRICKLAND, WENDY A (NP)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:A
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6918 SHALLOWFORD RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-6784
Mailing Address - Country:US
Mailing Address - Phone:423-855-2552
Mailing Address - Fax:423-855-9041
Practice Address - Street 1:3905 WEBB RD STE 226
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37416-1839
Practice Address - Country:US
Practice Address - Phone:423-521-4776
Practice Address - Fax:423-521-4781
Is Sole Proprietor?:No
Enumeration Date:2013-03-19
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN17476363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003132937AMedicaid
TNQ000523Medicaid
GA003132937BMedicaid
GA003132937BMedicaid