Individual provider · Type 1 NPI
Tiffany Wallace, DNP
Nurse Practitioner · Greensboro, NC
Practice location
719 Green Valley Rd
Greensboro, NC 27408-7014
Fax (336) 275-4702
Mailing address
8552 Dalton Ridge Rd
Kernersville, NC 27284-7276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5013821 (NC) |
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 1942804612
Tiffany Wallace, DNP's National Provider Identifier is 1942804612, issued on Nov 24, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greensboro, NC. The record was last updated on Aug 19, 2021.