Search › Tennessee › 363LF0000X
Mary Wall, FNP-C
NPI 1134689920 · on the registry since 2019
Practice
- Address
- 136 S Wilson St
Dresden, TN 38225 - Phone
- (731) 364-4900
- Fax
- (731) 352-4459
- Organisation at this address
- Ccc Medical Equipment, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 205 Hospital Dr Ste A, Mc Kenzie, TN
- 301 Tyson Ave, Paris, TN
- 205c Hospital Dr, Mc Kenzie, TN
- 1894 Cedar St, Mc Kenzie, TN
- 175 Wildcat Ln, Mc Kenzie, TN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363L00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee