Provider Demographics
NPI:1407044910
Name:WALLING, EMILY CURTIS (RNC, APN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:CURTIS
Last Name:WALLING
Suffix:
Gender:F
Credentials:RNC, APN
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ARLENE
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:243 OAK HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-2578
Mailing Address - Country:US
Mailing Address - Phone:931-728-9453
Mailing Address - Fax:
Practice Address - Street 1:3087 SPARTA ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-1364
Practice Address - Country:US
Practice Address - Phone:931-815-8800
Practice Address - Fax:931-815-8808
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13061363LW0102X
TN157285163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse