Individual provider · Type 1 NPI

Tashoy M. Wallace, APRN

Adult Health Nurse Practitioner · Orlando, FL

NPI number 1891301164 Active

Practice location

89 W Copeland Dr Fl 2
Orlando, FL 32806-2002

Fax (321) 841-8185

Mailing address

1414 Kuhl Ave # MP38
Orlando, FL 32806-2008

Other practice locations

  • 121 Odyssey Turn, Conyers, GA 30012-3681 · (404) 384-8019

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XRN205003 (GA)
Adult Health Nurse Practitioner Primary 363LA2200XAPRN11016381 (FL)

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

Other adult health nurse practitioner providers in Orlando

See all in Orlando →

About NPI 1891301164

Tashoy M. Wallace, APRN's National Provider Identifier is 1891301164, issued on Sep 21, 2020. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Orlando, FL. The record was last updated on Jun 25, 2025.