Individual provider · Type 1 NPI

Tiffany Marie Wallace

Acute Care Nurse Practitioner · Zanesville, OH

NPI number 1609740448 Active

Practice location

999 Garden Rd
Zanesville, OH 43701-1330

Mailing address

222 10th St
Malta, OH 43758-9383

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XRN.464702 (OH)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1609740448

Tiffany Marie Wallace's National Provider Identifier is 1609740448, issued on Oct 3, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Zanesville, OH. The record was last updated on Oct 3, 2025.