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Angela M Wallace, LPN
Licensed Practical Nurse in Greeneville, Tennessee
NPI 1306431101

Angela M Wallace is a Licensed Practical Nurse based in Gray, TN. Angela M Wallace practices in Greeneville, TN and has the professional credentials of LPN. The NPI Number for Angela M Wallace is 1306431101 and holds a License No. 61990 (Tennessee).

The current practice location address for Angela M Wallace is 401 Holston Dr, Greeneville, TN and can be reached out via phone at 423-639-1104 and via fax at 423-467-3644.

Location: 401 Holston Dr, Greeneville, TN, 37615-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306431101
Provider Name
Angela M Wallace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
401 Holston Dr, Greeneville, TN, 37615-6205
Phone Number
423-639-1104
Fax Number
423-467-3644
Provider Enumeration Date
03/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
401 Holston Dr
City
Greeneville
State
Tennessee
Zip
37743-3127
Phone Number
423-639-1104
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
401 Holston Dr
City
Greeneville
State
Tennessee
Zip
37743-3127
Phone Number
423-639-1104
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
61990 (Tennessee)
Definition
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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