Tamara Jane Wallace NP

NPI 1073780045 - Nurse Practitioner - 363LN0000X

NPI Details
NPI 1073780045
Gender Female
Enumeration Date 05/09/2008
Last Updated 07/09/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
2200 CHILDRENS WAY DEPT OF
NASHVILLE TN, 37232-0005, US
Phone (614) 361-8430
Fax
Business Location
523 PENNYSTONE DR
FRANKLIN TN, 37067-5771, US
Phone (614) 361-8430
Fax
Toxanomy
Taxonomy Code 363LN0000X
License State Ohio
License Number 01255
Remove 1073780045 NPI Number
 

According to our database, Mrs. Tamara Jane Wallace NP NPI is 1073780045, taxonomy code is 363LN0000X and license number is 01255, license state is located at Ohio. Tamara Jane Wallace NP physically located at 2200 Childrens Way Dept Of, Nashville TN, 37232-0005. NPI Number Tamara Jane Wallace NP has the Individual type.

Sponsored links

1073780045 NPI number is provided on an as is basis without warranty of any kind. 1073780045 is maintained by the National Plan & Provider Enumeration System. The contents of Tamara Jane Wallace NP are for informational purposes only.