Individual
MRS. KATHRYN ELIZABETH WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1805 N JACKSON ST STE 100, TULLAHOMA, TN 37388-2291
(931) 455-7767
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5048
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16415
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528507
—
TN
Enumeration date
02/06/2012
Last updated
07/25/2025
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