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

Mary Elizabeth Wickline, PA-C

Individual provider Physician Assistant · NPI 1285162693

Mary Elizabeth Wickline, PA-C is a Physician Assistant in Lindside, West Virginia. Works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

142 James Monroe Dr
Lindside, WV 24951-7168
Phone: (304) 753-5940
Fax: (304) 753-5941
Show map & directions

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

Additional practice locations (1)

  • Po Box 590, Union, WV 24983-0590 — (304) 772-3064

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1285162693
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2017
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025