Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Willow Medical Clinic, LLC

Organization Medical Physician Assistant · NPI 1356507404

Willow Medical Clinic, LLC is a Medical Physician Assistant in Manchester, Tennessee. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Willow Dr
Manchester, TN 37355-2438
Phone: (931) 728-7677
Fax: (931) 728-7066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1356507404
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammy Shelley — Office Manager/Assist. Business Adm · (931) 570-4755
NPI enumeratedJuly 29, 2008
Last updated in NPPESJuly 29, 2008
Mailing addressPo Box 1223, Manchester, TN 37349-1223

Other providers in Manchester