MADISON WALLACE, APN

Nurse Practitioner - Family

Active Individual
NPI: 1740703180

Practice Address

1995 HIGHWAY 51 S STE 204
Covington, TN 38019

Phone: (901) 475-5305

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes 22760 (TN)

Frequently Asked Questions

NPI 1740703180 is the National Provider Identifier for MADISON WALLACE, APN, a Nurse Practitioner - Family provider located in Covington, TN. This NPI was enumerated on July 18, 2017.
MADISON WALLACE, APN practices at 1995 HIGHWAY 51 S STE 204, Covington, TN 38019.

Quick Facts

NPI
1740703180
Type
Individual
Enumerated
Jul 18, 2017
Last Updated
Apr 17, 2024

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