Individual provider · Type 1 NPI
Kimberly Wallace, RN
General Practice Registered Nurse · Huntsville, AL
NPI number
1104534395
Active
Practice location
204 Lowe Ave SE Ste 2
Huntsville, AL 35801-4242
Mailing address
3118 Mallard Point Dr SE
Owens Cross Roads, AL 35763-8497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 1-069756 (AL) |
General Practice Registered Nurse: Definition to come...
4 other providers at this address
- A Stapel In WellnessRegistered Dietitian Huntsville, AL NPI 1720636103
- Carissa Niemann, C.R.N.P.Family Nurse Practitioner Huntsville, AL NPI 1336630417
- John David Blankenship, DOFamily Medicine Physician Huntsville, AL NPI 1013994342
- Sarah StapelmannRegistered Dietitian Huntsville, AL NPI 1942787213
Other general practice registered nurse providers in Huntsville
- Alexa West Gentle, RN-BSNGeneral Practice Registered Nurse Huntsville, AL NPI 1013769827
- Kay-Ann Nickeisha McLean, CRNPGeneral Practice Registered Nurse Huntsville, AL NPI 1144883232
- Celia Elizabeth Pyburn, RNGeneral Practice Registered Nurse Huntsville, AL NPI 1326999400
- Taylor Gayle Melvin, CRNPGeneral Practice Registered Nurse Huntsville, AL NPI 1427555044
- Mary Lou Quattlebaum, CRNPGeneral Practice Registered Nurse Huntsville, AL NPI 1639152994
- Rosemary Nneka Akano-AzundaGeneral Practice Registered Nurse Huntsville, AL NPI 1750226510
- Shean Polony, RNGeneral Practice Registered Nurse Huntsville, AL NPI 1952900557
About NPI 1104534395
Kimberly Wallace, RN's National Provider Identifier is 1104534395, issued on Nov 7, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Huntsville, AL. The record was last updated on Nov 7, 2022.