Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUTUM WADE
ActiveAUTUM WADE is a Peer Specialist healthcare provider located in JOHNSON CITY, Tennessee. NPI 1063155364 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1063155364
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 15, 2022 (4.3247001394981 yrs)
- Last Updated
- Apr 15, 2022
- License
-
000-1410 (TN)
Practice Information
- Address
-
102 N BROADWAY STJOHNSON CITY, TN, 376013525Browse TN providers · Browse ZIP 37601
- Phone
- 4235889988
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| ANGEL KILGORE | — | 1720609209 |
| HAILEY RODGERS | CPRS | 1396362349 |
| CRYSTAL BYERS LEACH | — | 1669056750 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.