Individual provider · Type 1 NPI

William S. Wallace, FNP

Family Nurse Practitioner · Memphis, TN

NPI number 1457334633 Active

Practice location

1200 Peabody Ave
Memphis, TN 38104-4506

Fax (901) 272-7179

Mailing address

PO Box 41527
Memphis, TN 38174-1527

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X108204 (TN)
Family Nurse Practitioner Primary 363LF0000XRN108204 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1457334633

William S. Wallace, FNP's National Provider Identifier is 1457334633, issued on Nov 22, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Memphis, TN. The record was last updated on Mar 5, 2010.