ASHLEY WALLACE
Nurse Practitioner
Active
Individual
NPI: 1174315329
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 39722 (TN) |
Frequently Asked Questions
NPI 1174315329 is the National Provider Identifier for ASHLEY WALLACE, a Nurse Practitioner provider located in Savannah, TN. This NPI was enumerated on May 21, 2025.
ASHLEY WALLACE practices at 175 JACKSON ST, Savannah, TN 38372.
Quick Facts
- NPI
- 1174315329
- Type
- Individual
- Enumerated
- May 21, 2025
- Last Updated
- Sep 8, 2025
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