Individual provider · Type 1 NPI
Kelsey Spiller Wallace
Psychiatric/Mental Health Nurse Practitioner · Knoxville, TN
NPI number
1285225300
Active
Practice location
103 Suburban Rd Ste D102
Knoxville, TN 37923-5581
Fax (865) 263-8469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 27966 (TN) |
| Adult Health Nurse Practitioner | 363LA2200X | 27966 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1285225300
Kelsey Spiller Wallace's National Provider Identifier is 1285225300, issued on Feb 1, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Knoxville, TN. The record was last updated on Oct 24, 2024.