JILL WALLNER (NPI# 1942357942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942357942 |
| Entity Type | Individual |
| Full Name | JILL WALLNER |
| Credential | M.D. |
| Practice Address |
58 W First St Suite 101 Crossville TN 38555-4443 |
| Mailing Address |
58 W First St Crossville TN 38555-4443 |
| Practice Telephone | 9314567992 |
| Practice Fax Number | 9317071089 |
| Mailing Telephone | 9314567992 |
| Mailing Fax Number | 9317071089 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2010-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
MD 27432 | TN | Allopathic & Osteopathic Physicians |
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MD 27432 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
58 W FIRST ST SUITE 101 |
| City | CROSSVILLE |
| State | TN |
| Zip Code | 38555-4443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679106306 | North Main Medical, LLC | Family Medicine | 3094 N Mainst, Crossville, TN 38555 | 2020-02-21 |
| 1013566991 | Arehart Enterprises Plc | Anesthesiology | 181 Matherly Street, Crossville, TN 38555 | 2019-09-04 |
| 1194220236 | William Stacy Swafford | Pain Medicine | 181 Matherly St, Crossville, TN 38555 | 2018-03-29 |
| 1871024539 | Adam Hill | Nurse Practitioner | 229 Interstate Dr Ste 103, Crossville, TN 38555 | 2017-03-24 |
| 1568862639 | Happy Hearts Home Care LLC | Home Health | 61 Birchwood Lane, Crossville, TN 38555 | 2014-08-26 |
| 1891072187 | Quality Medical Center, PC | Clinic/Center | 15 Walker Hill Cir, Crossville, TN 38555 | 2011-11-15 |
| 1306137393 | Beatrice L. Durham | Family Medicine | 421 South Main St., Crossville, TN 38555 | 2011-04-25 |
| 1881901353 | Donna Laughter | Licensed Practical Nurse | 1503 South Main St., Crossville, TN 38555 | 2010-09-07 |
| 1922311083 | Carl Thomas Duer Sr. | General Practice | 840 Holiday Dr, Crossville, TN 38555 | 2010-07-19 |
| 1295048445 | Michael Lee Hamby | Pharmacist | 85 Elmore Ave, Crossville, TN 38555 | 2010-07-16 |
| Find all providers in zip 38555 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750902177 | R&m Consultants LLC | Family Medicine | 208 N Roan St, Johnson City, TN 37601-4735 | 2020-04-27 |
| 1124656616 | Carebridge Medical Group, PC | Family Medicine | 926 Main St Ste B, Nashville, TN 37206-3614 | 2020-03-30 |
| 1104456052 | Briana Arnett | Family Medicine | 2308 Memorial Blvd Ste D, Springfield, TN 37172-3929 | 2020-01-20 |
| 1326552225 | Tiffany Danielle Turner | Family Medicine | 1045 Horse Head Lane, Pikeville, TN 37367 | 2017-11-30 |
| 1871928556 | Shirley Gravenor | Family Medicine | 2636 Park Creek Dr, Germantown, TN 38139-6556 | 2013-09-12 |
| 1952733396 | Unity Health Home, Inc | Family Medicine | 201 Jordan Rd, Suite 200, Franklin, TN 37067-4495 | 2013-08-08 |
| 1447503842 | Charlene Crowder Matthews | Family Medicine | 157 Highway 25 E, Newport, TN 37821-8157 | 2012-10-23 |
| 1295007730 | Anthony Glen Justice | Family Medicine | 11911 Kingston Pike, Suite 201, Knoxville, TN 37934-4602 | 2012-01-30 |
| 1386878957 | Holly Spurlock Blankenship | Family Medicine | 370 Doolittle Rd Ste 1, Woodbury, TN 37190-1129 | 2009-05-11 |
| 1447454525 | Gay Kirchner Battle | Family Medicine | 2309 Granite Dr, Johnson City, TN 37604-2172 | 2007-06-13 |
| Find all providers with the same taxonomy | ||||
| City | CROSSVILLE |
| Zip Code | 38555 |
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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.