Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bonnie Wallace, ANP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1770844300

Bonnie Wallace, ANP-BC is a Nurse Practitioner in Nashville, Tennessee. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
15
Licensed in
TN
In the registry since
2012
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Practice location Address checks out

4230 Harding Pike Ste 330
Nashville, TN 37205-2013
Phone: (615) 269-4545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APN0000016620 (TN)

Record details

NPI number1770844300
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedMay 30, 2012
Last updated in NPPESMay 30, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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