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Provider Profile

Aundrea L. Wallace

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At a glance

About Aundrea Wallace

Listed in the NPI registry as a nurse practitioner, Aundrea L. Wallace practices in Knoxville, TN. Aundrea graduated from East Tennessee State University Quillen College of Medicine in 2019. Aundrea is also listed as specializing in nurse practitioner — family. NPI 1053930404 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

TN licenceAs reported to the NPI registry
No. 27443As reported
NPINational Provider Identifier
1053930404Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Aundrea L. Wallace?

Aundrea L. Wallace is a nurse practitioner in Knoxville, TN. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Aundrea L. Wallace's address?

Aundrea L. Wallace is listed at 103 Midlake Dr Uppr Level, Knoxville, TN 37918. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Aundrea L. Wallace?

The number on file is (865) 687-1973. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Aundrea L. Wallace's NPI number?

Aundrea L. Wallace's National Provider Identifier is 1053930404. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Aundrea L. Wallace train?

Aundrea L. Wallace attended East Tennessee State University Quillen College of Medicine, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How long has Aundrea L. Wallace been practicing?

Aundrea L. Wallace has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

Has Aundrea L. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Aundrea L. Wallace. If this is you, claiming it is free.

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