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

ANGELA M WALLACE, LPN

Active

ANGELA M WALLACE, LPN is a Licensed Practical Nurse healthcare provider located in GREENEVILLE, Tennessee. NPI 1306431101 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · GREENEVILLE, TN

Registration Details

NPI Number
1306431101
Provider Type
Individual
Gender
Female
NPI Issued
Mar 3, 2021 (5.4653128113819 yrs)
Last Updated
Mar 3, 2021
License
61990 (TN)

Practice Information

Address
401 HOLSTON DR
GREENEVILLE, TN, 377433127
Browse TN providers · Browse ZIP 37743
Phone
4236391104
Fax
4234673644
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in GREENEVILLE, TN

Name Credential NPI
MITZI COVINGTON LPN 1376647057
MRS. KATHY JEAN HENSLEY LPN 1861542748
MS. LISA J. KINSER LPN 1396885786
MS. TONYA LEEANN BOWMAN LPN 1952442436
DONITA L LUNGHOFER 1366644940
NANCY ANN KEY LPN 1326216102
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.