Provider Demographics
NPI:1962668210
Name:MELL, WENDY M (NP)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:M
Last Name:MELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:M
Other - Last Name:BIGGERSTAFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:549 HICKORY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-8175
Mailing Address - Country:US
Mailing Address - Phone:615-578-8160
Mailing Address - Fax:
Practice Address - Street 1:549 HICKORY RIDGE RD
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066-8175
Practice Address - Country:US
Practice Address - Phone:615-578-8160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-05
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN19368363LF0000X, 363L00000X
TN142215163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ014397Medicaid