Individual provider · Type 1 NPI
Tift Palmer Wallace, CPNP
Pediatric Nurse Practitioner · Nashville, TN
NPI number
1225754617
Active
Practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-2598
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 32700 (TN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1225754617
Tift Palmer Wallace, CPNP's National Provider Identifier is 1225754617, issued on Oct 17, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Nashville, TN. The record was last updated on Sep 10, 2025.