Individual provider · Type 1 NPI

Taylor K. Wallace, CNA

Nurse's Aide · Jacksonville, FL

NPI number 1174133052 Active

Practice location

13525 Bartram Park Blvd Unit 1538
Jacksonville, FL 32258-5271

Call (816) 832-6319 Map

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X386143 (FL)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1174133052

Taylor K. Wallace, CNA's National Provider Identifier is 1174133052, issued on Aug 5, 2020. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 5, 2020.