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

Kelsey Spiller Wallace

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285225300

Kelsey Spiller Wallace is a Psychiatric/Mental Health Nurse Practitioner in Knoxville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021
Specialties on file
2

Practice location Address checks out

103 Suburban Rd Ste D102
Knoxville, TN 37923-5581
Phone: (865) 424-7334
Fax: (865) 263-8469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 27966 (TN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 27966 (TN)

Record details

NPI number1285225300
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2021
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

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