Angela M Wallace, LPN
NPI #1306431101 in Greeneville, Tennessee
Provider Information
- NPI Number
- 1306431101
- Entity Type
- Individual
- Name
- Angela M Wallace, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Mar 3, 2021
- Last Updated
- Mar 3, 2021
Practice Location
- Address
- 401 HOLSTON DR
- City
- Greeneville
- State
- Tennessee
- ZIP Code
- 37743-3127
- Phone
- (423) 639-1104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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