AUNDREA WALLACE

Nurse Practitioner - Family

Active Individual
NPI: 1053930404

Practice Address

103 MIDLAKE DR UPPR LEVEL
Knoxville, TN 37918

Phone: (865) 687-1973

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 27443 (TN)

Frequently Asked Questions

NPI 1053930404 is the National Provider Identifier for AUNDREA WALLACE, a Nurse Practitioner - Family provider located in Knoxville, TN. This NPI was enumerated on April 15, 2020.
AUNDREA WALLACE practices at 103 MIDLAKE DR UPPR LEVEL, Knoxville, TN 37918.

Quick Facts

NPI
1053930404
Type
Individual
Enumerated
Apr 15, 2020
Last Updated
Nov 15, 2024

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