Most Relevant Information
Provider Data
| NPI Number: | 1003273814 |
| Provider Name: | KATHERINE E WYATT A.P.R.N. |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | APN20925 |
Most Important Dates
| Enumeration Date: | 01/25/2016 |
| Last Updated: | 10/25/2023 |
Provider Practice Location
145 INNOVATION DR
JACKSON
TN
383053019
Practice Location Phone/Fax
| Phone: | 7314220213 |
| Fax: | 7316608301 |
Provider Mailing Location
PO BOX 400
JACKSON
TN
383020400
Provider Mailing Phone/Fax
| Phone: | 7314255752 |
| Fax: | 7314255783 |