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ANGELA M WALLACE LPN
NPI 1306431101
Licensed Practical Nurse in Greeneville, TN

Active since March 03, 2021
401 HOLSTON DR, GREENEVILLE, TN 37743(423) 639-1104(423) 467-3644 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela M Wallace Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA M WALLACE LPN (NPI 1306431101) is an individual licensed practical nurse in Greeneville, Tennessee, licensed in Tennessee (61990) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1306431101
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANGELA M WALLACECredential: LPN
Location Address401 HOLSTON DRGreeneville, TN 37743-3127
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 639-1104
Fax(423) 467-3644
Sole ProprietorNo
Enumeration DateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1306431101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in TN · 61990
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
401 HOLSTON DR, Greeneville, TN 37743
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY TAIS CARRIER MA
Counselor
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
MRS. KAREN MALINDA LANE APRN
Nurse Practitioner (Psychiatric/Mental Health)
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
MISS REBECCA MILES MOORE BA
Case Manager/Care Coordinator
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
AMY MARIA MULLINS MA
Counselor (Professional)
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
JEFFEREY WOLIVER BS
Case Manager/Care Coordinator
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
CECILIA S HAMILTON MSW
Social Worker (Clinical)
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 232-2600
SARAH E HAYES PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104
MS. CATHERINE ANNE HORTON LPN
Licensed Practical Nurse
401 HOLSTON DR
GREENEVILLE, TN 37743
Greene County (423) 639-1104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Wallace's NPI number?

The NPI number for Angela Wallace is 1306431101. It was assigned to this individual provider in the NPPES registry on March 3, 2021.

Where is Angela Wallace located?

Angela Wallace practices at 401 Holston Dr, Greeneville, TN 37743. The listed phone number is (423) 639-1104.

What is Angela Wallace's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Angela Wallace was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.