Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY BROOKE TACKETT WYATT, PA
ActiveMS. MARY BROOKE TACKETT WYATT, PA is a Medical Physician Assistant healthcare provider located in CROSSVILLE, Tennessee. NPI 1821286519 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CROSSVILLE, TN
Registration Details
- NPI Number
- 1821286519
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2007 (18.839255692704 yrs)
- Last Updated
- Sep 18, 2025
- License
-
1544 (TN)
Practice Information
- Address
-
1645 S MAIN STSUITE 101CROSSVILLE, TN, 385552908Browse TN providers · Browse ZIP 38555
- Phone
- 9314847531
- Fax
- 9314569515
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in CROSSVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| SHAWN JAMES BRUNELLE | PA-C | 1457325755 |
| MRS. BEVERLY JOAN GARDNER | PA-C | 1629089065 |
| MRS. JILL K DENNEY | PA-C | 1851441679 |
| MR. CHADRICK LEON HULL | PA-C | 1548599608 |
| RENEE THOMPSON BOSTON | PA | 1982997714 |
| EMILY MICHELE WATSON | PA | 1861264913 |
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.