Individual provider · Type 1 NPI

Kelly E. Wall, ANP-BC

Nurse Practitioner · Athens, GA

NPI number 1225463060 Active

Practice location

1199 Prince Ave, #7
Athens, GA 30606-2797

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN198482 (GA)

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 1225463060

Kelly E. Wall, ANP-BC's National Provider Identifier is 1225463060, issued on Sep 12, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Athens, GA. The record was last updated on Sep 12, 2013.