Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL WALLNER, M.D.
Active Sole ProprietorJILL WALLNER, M.D. is a Adolescent Medicine healthcare provider located in CROSSVILLE, Tennessee. NPI 1942357942 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · CROSSVILLE, TN
Registration Details
- NPI Number
- 1942357942
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 4, 2007 (19.618680410706 yrs)
- Last Updated
- Jul 23, 2010
- Licenses
-
MD 27432 (TN)MD 27432 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
58 W FIRST STSUITE 101CROSSVILLE, TN, 385554443Browse TN providers · Browse ZIP 38555
- Phone
- 9314567992
- Fax
- 9317071089
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Adolescent Medicine
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.