| Doctor Name: | WENDY S DEWBERRY |
| NPI Number: | 1063644243 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 14326 |
| Business Practice Address: | 620 S Jefferson Ave Ste 202 Cookeville, TN - 385014035 |
| Business Phone Number: | 9315265311 |
| Business Fax Number: | 9315267369 |
| Mailing Address: | 8891 Hwy One Eleven, BYRDSTOWN |
| State: | TN |
| Postal Code: | 385496003 |
| Phone Number: | 9312671978 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2009 |
| NPI Last Update Date: | 06/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 14326 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |