Organization · Type 2 NPI
Wade Family Medicine, Llc.
Clinic/Center · Covington, TN
NPI number
1629586375
Active
Practice location
899 Highway 51 S
Covington, TN 38019-2568
Fax (901) 244-4647
Mailing address
PO Box 369
Millington, TN 38083-0369
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Primary Care Clinic/Center | 261QP2300X | 16204 (TN) |
| Rural Health Clinic/Center | 261QR1300X | 16204 (TN) |
| Nurse Practitioner | 363L00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4 other providers at this address
- Connie A. Reaves, NPNurse Practitioner Covington, TN NPI 1255476677
- Modeanna Leigh Wade, APRNFamily Nurse Practitioner Covington, TN NPI 1760767016
- Paulette Carothers, ACNPAcute Care Nurse Practitioner Covington, TN NPI 1821374851
- Robyn Y. Vanderford, FNPFamily Nurse Practitioner Covington, TN NPI 1437334216
Other clinic/center providers in Covington
About NPI 1629586375
Wade Family Medicine, Llc.'s National Provider Identifier is 1629586375, issued on Jan 16, 2018. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Covington, TN. The record was last updated on Jul 9, 2024.