CARRIE B WALLACE

MARYVILLE, TN
NPI1659646768
Former NameCARRIE BETH THOMPSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  16556)
Enumeration Date2012-03-22
Last Update Date2025-06-18
Business Address
CARRIE B WALLACE ANP
414 GREENBELT DR
MARYVILLE, TN 37804-5702
Phone number: 865-637-8812
Mailing Address
CARRIE B WALLACE ANP
1450 DOWELL SPRINGS BLVD SUITE 300
KNOXVILLE, TN 37909
Phone number: 865-637-8812