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

Madison Nicole Wall

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336909290

Madison Nicole Wall is a Student in an Organized Health Care Education/Training Program in Chattanooga, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

975 E 3rd St
Chattanooga, TN 37403-2173
Phone: (423) 778-7000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336909290
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address2597 4th Ave, Huntington, WV 25703-1603

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