Individual provider · Type 1 NPI
Teresa M. Wallace, APN
Family Nurse Practitioner · Brighton, TN
NPI number
1225357635
Active
Practice location
1880 Old Highway 51 S Ste C
Brighton, TN 38011-8025
Fax (901) 837-7999
Mailing address
PO Box 1000 Dept 978
Memphis, TN 38148-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 14863 (TN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Brighton
About NPI 1225357635
Teresa M. Wallace, APN's National Provider Identifier is 1225357635, issued on May 25, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Brighton, TN. The record was last updated on Mar 7, 2023.