Individual provider · Type 1 NPI

Aundrea Leighann Wallace

Family Nurse Practitioner · Knoxville, TN

NPI number 1053930404 Active

Practice location

103 Midlake Dr Uppr Level
Knoxville, TN 37918-3002

Fax (833) 908-2091

Mailing address

1275 Dick Lonas Rd
Knoxville, TN 37909-1382

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X27443 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1053930404

Aundrea Leighann Wallace's National Provider Identifier is 1053930404, issued on Apr 15, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Knoxville, TN. The record was last updated on Nov 15, 2024.