Individual
MRS. YOLANDA MCCAIN WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-3610
(901) 226-3612
Mailing address
965 RIDGE LAKE BLVD STE 103, MEMPHIS, TN 38120-9446
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20989
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
20989
TN
Other
Enumeration date
03/03/2016
Last updated
11/20/2019
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