DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY WHITE WALL, FNP-C

Active

MRS. KELLY WHITE WALL, FNP-C is a Family Nurse Practitioner healthcare provider located in VIDALIA, Georgia. NPI 1194290338 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · VIDALIA, GA

Registration Details

NPI Number
1194290338
Provider Type
Individual
Gender
Female
NPI Issued
Oct 3, 2018 (7.6824320117769 yrs)
Last Updated
Oct 3, 2018
License
RN170495 (GA)

Practice Information

Address
414 LUGENIA DR
VIDALIA, GA, 304747210
Browse GA providers · Browse ZIP 30474
Phone
9125379355
Fax
9123354804
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in VIDALIA, GA

Name Credential NPI
MICHAEL G WIGGINS FNP 1528040326
DANA M AVIST APRN, BC 1023062577
MR. RANDALL TERRY CRAWFORD JR. 1740678739
MARY MINTER NP-C 1275919771
LORENE DAVIS FNP-BC 1922468263
DEWEY D HOWELL FNP-C 1467808279
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.