MEDICARE: WENDY BETH SUMNER ALEXANDER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA765	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	20-80322568	OTHER	TN	CENTURIAN
4	20-8032568	OTHER	TN	HUMANA

General Provider Information

NPI Number	:	1285616938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY BETH SUMNER ALEXANDER PA-C

Provider Business Mailing Address
First Line	:	733 GOODPASTURE TER
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37221-3542
Country	:	US
Telephone Number	:	615-260-1163
Fax Number	:

Provider Business Practice Location Address
First Line	:	1310 24TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-2637
Country	:	US
Telephone Number	:	615-873-8357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	01/14/2025

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