Mary Brooke Wyatt, PA

Individual Active
NPI 1821286519
Medical Physician Assistant Crossville, TN

Mary Brooke Wyatt, PA holds NPI 1821286519, with a primary taxonomy of medical physician assistant and a practice location in Crossville, TN. The number was issued on October 9, 2007 and the NPPES record was last updated on September 18, 2025. 2 additional practice locations are listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 1544 (TN)

Practice locations

1645 S Main St
Suite 101
Crossville, TN 38555-2908
Phone: (931) 484-7531
120 Walnut Commons Ln Ste D
Cookeville, TN 38501-6037
Phone: (931) 526-5777
435 Sewell Dr
Sparta, TN 38583-1200
Phone: (931) 738-4595

Local context

Active NPPES records list 12 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 8 of them within 10 miles.

The same primary taxonomy is listed by 643 in Tennessee and 40,084 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Ms. Mary Brooke Tackett Wyatt
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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