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

Mrs. Kristen Wallis, RN

Individual provider Registered Nurse · NPI 1063865780

Mrs. Kristen Wallis, RN is a Registered Nurse in Cortland, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
Specialties on file
3
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

7199 Creech Rd
Cortland, NY 13045-8901
Phone: (607) 749-3208
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 671965-1 (NY)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence 671965-1 (NY)
Home Health Registered Nurse Taxonomy 163WH0200X · Licence 671965-1 (NY)

Record details

NPI number1063865780
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 18, 2016
Last updated in NPPESJuly 18, 2016

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