Individual provider · Type 1 NPI

Kassidy B. Wall, FNP

Family Nurse Practitioner · Covington, LA

NPI number 1154845147 Active

Practice location

1970 N Highway 190
Covington, LA 70433-5364

Fax (985) 867-3644

Mailing address

PO Box 3370
Covington, LA 70434-3370

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP09476 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1154845147

Kassidy B. Wall, FNP's National Provider Identifier is 1154845147, issued on Aug 1, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Covington, LA. The record was last updated on Sep 29, 2025.