Individual provider · Type 1 NPI

Kellie Ann Wahl, NP-C

Nurse Practitioner · Chattanooga, TN

NPI number 1013387000 Active

Practice location

1108 Valentine Cir
Chattanooga, TN 37405-2866

Call (231) 920-5625 Map

Mailing address

PO Box 5777
Maryville, TN 37802-5777

Other practice locations

1776 Generations Way, Ooltewah, TN 37363-1732 · (865) 230-1500

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	4704291998 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013387000

Kellie Ann Wahl, NP-C's National Provider Identifier is 1013387000, issued on Oct 2, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chattanooga, TN. The record was last updated on Oct 15, 2026.