Individual ProviderRachal WallNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2018 Clinch Ave, Knoxville, TN 37916-2301(865) 541-8418PECOS EnrollmentBased on the most recent information from CMS, provider Rachal Wall does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1134714900Provider TypeIndividualFull NameWall, RachalGenderFemaleSole ProprietorNoEnumeration Date3/4/2021Last Updated3/4/2021Contact InformationPractice LocationPractice Address2018 Clinch Ave, Knoxville, TN 37916-2301Phone(865) 541-8418FaxUnlisted FaxMailing LocationMailing Address2018 Clinch Ave, Knoxville, TN 37916-2301Phone(865) 541-8418FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense29182Tennessee