person
Mrs. Kelly White Wall, FNP-C
Family Nurse Practitioner in Vidalia, Georgia
NPI 1194290338

Kelly White Wall is a Family Nurse Practitioner based in Vidalia, GA and is specialized in Family. Kelly White Wall practices in Vidalia, GA and has the professional credentials of FNP-C. The NPI Number for Kelly White Wall is 1194290338 and holds a License No. RN170495 (Georgia).

The current practice location address for Kelly White Wall is 414 Lugenia Dr, Vidalia, GA and can be reached out via phone at 912-537-9355 and via fax at 912-335-4804.

Location: 414 Lugenia Dr, Vidalia, GA, 30475-1416
person
Provider Profile Details
NPI Number
1194290338
Provider Name
Kelly White Wall
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
414 Lugenia Dr, Vidalia, GA, 30475-1416
Phone Number
912-537-9355
Fax Number
912-335-4804
Provider Enumeration Date
10/03/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
414 Lugenia Dr
City
State
Zip
30474-7210
Phone Number
912-537-9355
Fax Number
912-335-4804
person
Provider Business Mailing Address Details
Address
414 Lugenia Dr
City
State
Zip
30474-7210
Phone Number
912-537-9355
Fax Number
912-335-4804
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN170495 (Georgia)
Definition
Definition to come...
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