NPI 1003368259

James Ryan Wallace, CRNA

Practitioner Certified Registered Nurse Anesthetist Knoxville, TN

Practice location

Address: 1901 Clinch Ave, Knoxville, TN 37916-2307
Phone: (865) 342-9098
Mailing address: PO Box 10963, Knoxville, TN 37939-0963

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence APN0000027641 (TN)

Other Nurse Anesthetist, Certified Registered providers in Tennessee →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence ARNP9386073 (FL)

Registry record

NPI: 1003368259
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Nov 2016
Record last updated: 15 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.