Individual
KERRI WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
707 W MARKET ST STE C, ATHENS, AL 35611-2463
(256) 444-1815
(256) 444-0385
Mailing address
707 W MARKET ST STE C, ATHENS, AL 35611-2463
(256) 444-1815
(256) 444-0385
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-159583
AL
Other
Enumeration date
12/29/2021
Last updated
09/12/2024
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