IndividualActive
Alyssa Wall
NPI 1972131878 · Psychiatric/Mental Health Nurse Practitioner · Mason, OH
Provider details
- NPI number
- 1972131878
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 219471 (TN)
Mailing address
4075 Old Western Row Rd
Mason, OH 45040-3104
Registry dates
- Enumerated
- 2020-03-28
- Last updated
- 2022-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.