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

Trevor Van Vliet

Individual provider Physician Assistant · NPI 1275265001

Trevor Van Vliet is a Physician Assistant in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2022.

Licensed in
TN
In the registry since
2022

Practice location Address checks out

262 Danny Thomas Pl
Memphis, TN 38105-3678
Phone: (901) 321-3000
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5628 (TN)

Record details

NPI number1275265001
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address7121 Rico Cv, Germantown, TN 38138-5740

Other providers in Memphis