JENNIE L. WALLS FNP NPI 1265517197

NPI Information

NPI: 1265517197
Provider Name: JENNIE L. WALLS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
DAVID CROCKETT HIGH SCHOOL HEALTH CLINIC
684 OLD STATE ROUTE 34
JONESBOROUGH, TN
ZIP 37659
Phone: (423) 753-0057
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Jennie L. Walls, FNP is a family nurse practitioner in Jonesborough, TN. Jennie L. Walls, FNP NPI is 1265517197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

DAVID CROCKETT HIGH SCHOOL HEALTH CLINIC
684 OLD STATE ROUTE 34
JONESBOROUGH, TN
ZIP 37659
Phone: (423) 753-0057

The enumeration date for this NPI number is 10/26/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN5169	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	APN5169	OTHER	TENNESSEE	APN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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