Individual provider · Type 1 NPI
Tiffany Garris Wall, NP-C
Nurse Practitioner · Charleston, SC
Practice location
9228 Medical Plaza Dr
Charleston, SC 29406-9125
Fax (843) 764-4512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 18412 (SC) |
| Nurse Practitioner Primary | 363L00000X | 18412 (SC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1255763488
Tiffany Garris Wall, NP-C's National Provider Identifier is 1255763488, issued on Jul 30, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, SC. The record was last updated on Jan 18, 2022.