| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAMIKA SHAREE WALL | 1285137380 | 2024-01-07 |
Kamika Sharee Wall is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285137380. Registration indicates Kamika Sharee Wall is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Kamika Sharee Wall |
| Practice Office Address | 7040 WIND STONE BLVD STE 150 OLIVE BRANCH, MS US |
| Practice Office Telephone | 6628745828 |
| Practice Office Fax | 6628745870 |
| Mailing Address | PO BOX 515 CORDOVA, TN 380880515 US |
| Business Telephone | 9014849099 |
| Business Fax | 4702222771 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1009 Windcross Ct Ste 101 | Franklin, TN 370672678 | 9016511647 |
| 8254 Weatherwood Ln | Cordova, TN 380186344 | 9013528350 / 4702222771 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 169468
TN |
| 363LP2300X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 905658
MS |
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 916499
MS |
| 363LP2300X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 24058
TN |
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 24058
TN |