Individual provider · Type 1 NPI
Charleston Bailee Wallace, FNP
Family Nurse Practitioner · Lexington, TN
NPI number
1851960421
Active
Practice location
157 W Church St
Lexington, TN 38351-2011
Mailing address
595 Natchez Trace Dr
Lexington, TN 38351-1627
Other practice locations
- 595 Natchez Trace Dr, Lexington, TN 38351-1627 · (731) 307-9413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 225188 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | 30307 (TN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Brandy Bartholomew, FNP-CFamily Nurse Practitioner Lexington, TN NPI 1063802346
- Tammy Colwick Milholen, NP-CFamily Nurse Practitioner Lexington, TN NPI 1093039000
- Teresa Lynn Cox, NPFamily Nurse Practitioner Lexington, TN NPI 1093414914
- Chad C. Scott, FNP MSNFamily Nurse Practitioner Lexington, TN NPI 1134116205
- Megan Lynn EssaryFamily Nurse Practitioner Lexington, TN NPI 1184205619
About NPI 1851960421
Charleston Bailee Wallace, FNP's National Provider Identifier is 1851960421, issued on Jun 18, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lexington, TN. The record was last updated on Sep 22, 2021.