Search › Tennessee › 363L00000X
Carrie Wallace, ANP
NPI 1659646768 · on the registry since 2012 · sole proprietor
Practice
- Address
- 414 Greenbelt Dr
Maryville, TN 37804 - Phone
- (865) 637-8812
- Fax
- (865) 342-4678
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-18
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