Charleston Bailee Wallace, FNP
NPI #1851960421 in Lexington, Tennessee
Provider Information
- NPI Number
- 1851960421
- Entity Type
- Individual
- Name
- Charleston Bailee Wallace, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jun 18, 2021
- Last Updated
- Sep 22, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Family — Family |
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