Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHAMOLIE NICOLE WYCKOFF, M.D.
ActiveDR. SHAMOLIE NICOLE WYCKOFF, M.D. is a Vascular Surgery healthcare provider located in HERMITAGE, Tennessee. NPI 1295872216 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · HERMITAGE, TN
Registration Details
- NPI Number
- 1295872216
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 31, 2007 (19.543737920172 yrs)
- Last Updated
- Jan 10, 2022
- Licenses
-
P20277 (MD)48072 (TN)
Practice Information
- Address
-
5651 FRIST BLVDSTE 712HERMITAGE, TN, 370762054Browse TN providers · Browse ZIP 37076
- Phone
- 6158729966
- Fax
- 6158729967
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
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.