Individual provider · Type 1 NPI

Melissa Kay Wallis, AGNP

Nurse Practitioner · St. Louis, MO

NPI number 1346705993 Active

Practice location

4921 Parkview Pl, Div Neuro Surg, Ste 6B/6C
St. Louis, MO 63110-1032

Call (314) 362-3577 Map

Fax (314) 362-2107

Mailing address

660 S Euclid Ave, Cb 8057
St. Louis, MO 63110-1010

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2019005399 (MO)

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 1346705993

Melissa Kay Wallis, AGNP's National Provider Identifier is 1346705993, issued on Feb 7, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Louis, MO. The record was last updated on Nov 15, 2021.