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Individual

JAIME GODSEY WALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
7945 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1762
(901) 683-0055
(901) 685-2969
Mailing address
7714 POPLAR AVE STE 200, GERMANTOWN, TN 38138-3941
(901) 683-0055
(901) 685-2969

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19642
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03535765
MS
05
Q024138
TN
Enumeration date
02/11/2015
Last updated
02/05/2026
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