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

Wesley Allen Pettiford, FNP-C

Individual provider Family Nurse Practitioner · NPI 1740928803

Wesley Allen Pettiford, FNP-C is a Nurse Practitioner in Clinton, Tennessee. Graduated from Lincoln Memorial University Medical Department in 2022, 4 years ago. Practices with Covenant Medical Group Inc, a 356-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
4
Trained at
Lincoln Memorial University Medical Department
Licensed in
TN
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

102 S Charles G Seivers Blvd
Clinton, TN 37716-3916
Phone: (865) 457-4702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 31793 (TN)

Record details

NPI number1740928803
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 26, 2022
Last updated in NPPESJune 17, 2022
Certification dateJune 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2022 (4 years in practice)
Group practice Covenant Medical Group Inc — 356 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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