Male or Other

Wesley A. Pettiford FNP-C

Family Nurse Practitioner in Clinton, TN(View on Map)

Full Name

Wesley Allen Pettiford FNP-C

NPI Number

1740928803

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/26/2022

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

Yes

Licenses

State

Tennessee

License Number

31793

Contact
Information

Purpose

Mailing
Location

Address

114 ARCADIAN SPRINGS DR
102 S CHARLES G SEIVERS BLVD

City

Andersonville
Clinton

State

TN
TN

Postal Code

37705-3032
37716-3916

Country

US
US

Telephone Number

(865) 250-4219
(865) 457-4702

Identifiers

Identifier

Q074406

Identifier State

TN

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

pettiford.wesley.allen@covenanthealth.cernerdirect.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

102 S Charles G Seivers BlvdClinton, TN377163916US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/17/2022

Provider Address

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Specialty: Family Nurse Practitioner (Primary)

Female

Lauren Blakley APRN, FNP-BC

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Specialty: Family Nurse Practitioner (Primary)

Female

Daniella Stearns DNP, APRN, FNP-C

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Specialty: Family Nurse Practitioner (Primary)

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Specialty: Family Nurse Practitioner (Primary)

Female

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Specialties: Family Nurse Practitioner (Primary)Primary Care Nurse PractitionerRegistered Nurse