MR. WILLIAM WALLACE, FNP

Nurse Practitioner - Family

Active Individual
NPI: 1457334633

Practice Address

1200 PEABODY AVE
Memphis, TN 38104

Phone: (901) 272-0003

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No 108204 (TN)
Nurse Practitioner - Family 363LF0000X Yes RN108204 (TN)

Frequently Asked Questions

NPI 1457334633 is the National Provider Identifier for MR. WILLIAM WALLACE, FNP, a Nurse Practitioner - Family provider located in Memphis, TN. This NPI was enumerated on November 22, 2005.
MR. WILLIAM WALLACE, FNP practices at 1200 PEABODY AVE, Memphis, TN 38104.

Quick Facts

NPI
1457334633
Type
Individual
Enumerated
Nov 22, 2005
Last Updated
Mar 5, 2010

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