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

Autum Wade

Individual provider Peer Specialist · NPI 1063155364

Autum Wade is a Peer Specialist in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

102 N Broadway St
Johnson City, TN 37601-3525
Phone: (423) 588-9988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 000-1410 (TN)

Record details

NPI number1063155364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2022
Last updated in NPPESApril 15, 2022
Certification dateApril 15, 2022
Mailing address102 N Broadway St, Johnson City, TN 37601-3525

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