Individual provider · Type 1 NPI

Kelly White Wall, FNP-C

Family Nurse Practitioner · Vidalia, GA

NPI number 1194290338 Active

About NPI 1194290338

Kelly White Wall, FNP-C's National Provider Identifier is 1194290338, issued on Oct 3, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Vidalia, GA. The record was last updated on Oct 3, 2018.