Individual
TONYA A WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1047 GLENBROOK WAY STE 100, HENDERSONVILLE, TN 37075-1315
(629) 239-7584
Mailing address
4 WYNDSOR CT, HENDERSONVILLE, TN 37075-9601
(629) 239-7584
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
664243197
TN
363LF0000X
Family Nurse Practitioner
21715
TN
Other
Enumeration date
11/01/2016
Last updated
07/17/2023
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