Individual
JAMES RYAN WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1901 CLINCH AVE, KNOXVILLE, TN 37916-2307
(865) 342-9098
Mailing address
PO BOX 10963, KNOXVILLE, TN 37939-0963
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000027641
TN
367500000X
Certified Registered Nurse Anesthetist
ARNP9386073
FL
Other
Enumeration date
11/03/2016
Last updated
01/15/2023
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