MR. CHRISTOPHER BRIAN WALLS (NPI# 1780963702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780963702 |
Entity Type | Individual |
Full Name | MR. CHRISTOPHER BRIAN WALLS |
Credential | NP-C |
Practice Address |
980 Highway 28 Suite 100 Jasper TN 37347-3695 |
Practice Telephone | 4239421602 |
Practice Fax Number | 4239421265 |
Mailing Telephone | 4239421602 |
Mailing Fax Number | 4239421265 |
Enumeration Date | 2011-08-08 |
Last Update Date | 2015-07-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
15977 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003118413B | 05 | |
TN | 1525594 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215951314 | Christopher Thomas Walls | Optometrist | 600 Old Hickory Rd, Grenada, MS 38901-2727 | 2006-07-26 |
1790721546 | Christopher E. Walls | Surgery | 4750 Waters Ave, Suite 500, Savannah, GA 31404 | 2006-06-21 |
Street Address |
980 HIGHWAY 28 SUITE 100 |
City | JASPER |
State | TN |
Zip Code | 37347-3695 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982602504 | Robert S Collins | Orthopaedic Surgery | 980 Highway 28, Ste 102, Jasper, TN 37347-3695 | 2005-07-08 |
1003209982 | Rhonda C Hill | Nurse Practitioner | 980 Highway 28, Ste 100, Jasper, TN 37347-3696 | 2015-03-16 |
1417376195 | Valley Medical Care LLC | Pediatrics | 980 Highway 28, Suite 100, Jasper, TN 37347-3695 | 2014-04-10 |
1720407778 | Adria Sherrill | Nurse Practitioner | 980 Highway 28, Suite 28, Jasper, TN 37347-3695 | 2014-04-07 |
1194149781 | Frances H Barnett | Family Medicine | 980 Highway 28, Suite 200, Jasper, TN 37347-3695 | 2014-02-18 |
1396189510 | Nancy Mueller Fleenor | Nurse Practitioner | 980 Highway 28, Frances H. Barnett Md Family Practice, Jasper, TN 37347-3695 | 2013-04-18 |
1497019707 | Medical Arts Plaza, P.C. | Nurse Practitioner | 980 Highway 28, Suite 100, Jasper, TN 37347-3695 | 2012-07-02 |
1144546375 | Makhni Cardiology and Medical Associates Pa | Pediatrics | 980 Highway 28, Suite 101, Jasper, TN 37347-3695 | 2010-04-13 |
1245423839 | Edward L Mosley Jr | Surgery | 980 Highway 28, Suite 203, Jasper, TN 37347-3695 | 2007-08-27 |
1740402296 | Medical Equipment Distributors of Tenessee | Durable Medical Equipment & Medical Supplies | 980 Highway 28, Suite 404, Jasper, TN 37347-3695 | 2007-05-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
1336569359 | Kevin Stevens | Emergency Medicine | 1000 Tn-28, Jasper, TN 37347 | 2014-04-17 |
1487801924 | Valley Imaging Partners, P.C. | Radiology | 1000 Hwy 28, Jasper, TN 37347 | 2008-08-27 |
1053494708 | Elizabeth Rodgers | Nurse Practitioner | 215 Hickman Road, Jasper, TN 37347 | 2006-10-23 |
1386726875 | Wal-mart Stores East, Lp | Technician/Technologist | 525 Kimball Crossing, Kimball, TN 37347 | 2006-10-20 |
1427033307 | Karim D Hasnani | Dentist | 507 Betsy Pack Dr Suite B, Jasper, TN 37347 | 2005-12-13 |
1932184017 | Craig John Cott | Psychiatry & Neurology | 215 Hickman Rd, Jasper, TN 37347 | 2005-12-12 |
1104817774 | Karin B Boeck | Family Medicine | 24 Mountain View Drive, Suite A, Kimball, TN 37347 | 2005-11-02 |
1508344227 | Faith Hannah Williams | Registered Nurse | 1000 Tn-28, Jasper, TN 37347 | 2018-08-03 |
1861752578 | Jana Marlow | Social Worker | 215 Hickman Rd, Jasper, TN 37347 | 2012-05-29 |
Find all providers in zip 37347 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659922789 | Annette Renae Klem | Nurse Practitioner | 670 Rumbach Ave, Jasper, IN 47546-3513 | 2019-09-20 |
1811558901 | Elaina Miranda Averett | Nurse Practitioner | 580 Hampton Farms Trl, Jasper, GA 30143-5571 | 2019-06-28 |
1003473877 | Tiffany Tolliver | Nurse Practitioner | 508 Deer Ridge Run, Jasper, AL 35503-5573 | 2019-05-28 |
1578063590 | Nicole Noreen Tucker | Nurse Practitioner | 134 Mountainside Village Pkwy Bldg 500, Jasper, GA 30143-8694 | 2018-02-16 |
1467989533 | Kathleen Ann Munning | Nurse Practitioner | 1950 Saint Charles St Ste 4, Jasper, IN 47546-9172 | 2017-05-18 |
1336687383 | Nina Martindale | Nurse Practitioner | 2400 County Road 138, Jasper, TX 75951 | 2017-02-09 |
1689111460 | Chris Hue Gilchriest Jr. | Nurse Practitioner | 541 Dogwood St, Jasper, TX 75951-5658 | 2017-01-31 |
1962949222 | Ace Beam | Nurse Practitioner | 3400 Highway 78 E Ste 215, Jasper, AL 35501-8950 | 2017-01-25 |
1376928770 | Elizabeth Jane Mckinley | Nurse Practitioner | 220 J L White Dr Ste 110, Jasper, GA 30143-4894 | 2015-07-27 |
1225415581 | Ashley Gilley | Nurse Practitioner | 744 Noah Dr Ste 108, Jasper, GA 30143-8704 | 2015-05-06 |
Find all providers in JASPER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.