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

Nikki L Wallace, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1104875459

Nikki L Wallace, CRNA is a Certified Registered Nurse Anesthetist in Nashville, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

110 29th Ave N Ste 202
Nashville, TN 37203-1448
Phone: (615) 327-4304
Show map & directions

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

Additional practice locations (1)

  • 400 E Tickle St, Dyersburg, TN 38024-3120 — (731) 285-2410

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 9725 (TN)

Record details

NPI number1104875459
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 6, 2006
Last updated in NPPESMarch 17, 2018

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