Individual provider · Type 1 NPI

Angela M. Wallace, LPN

Licensed Practical Nurse · Greeneville, TN

NPI number 1306431101 Active

Practice location

401 Holston Dr
Greeneville, TN 37743-3127

Fax (423) 467-3644

Mailing address

1167 Spratlin Park Dr
Gray, TN 37615-6205

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X61990 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1306431101

Angela M. Wallace, LPN's National Provider Identifier is 1306431101, issued on Mar 3, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Greeneville, TN. The record was last updated on Mar 3, 2021.