IndividualActive
Addison Wyckoff, PA-C
NPI 1487249975 · Physician Assistant · Knoxville, TN
Provider details
- NPI number
- 1487249975
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
6450 Kingston Pike Ste 2
Knoxville, TN 37919-4833
Phone: (865) 999-5988
Fax: (865) 540-6104
Approximate (ZIP-level) locationGet directions
Mailing address
6450 Kingston Pike Ste 2
Knoxville, TN 37919-4833
Registry dates
- Enumerated
- 2021-03-05
- Last updated
- 2025-01-15
- Certified
- 2025-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.