Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Caitlen M Petschke, PA-C

Individual provider Medical Physician Assistant · NPI 1558669986

Mrs. Caitlen M Petschke, PA-C is a Medical Physician Assistant in Johnson City, Tennessee. Licensed in Louisiana and Tennessee. Registered with an NPI since 2011.

Licensed in
LA, TN
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 Med Tech Pkwy Ste 405
Johnson City, TN 37604-4007
Phone: (423) 929-2452
Fax: (423) 929-2531
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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 · Licence 2275 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA200351 (LA)

Record details

NPI number1558669986
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 9, 2011
Last updated in NPPESAugust 15, 2013

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