Naomi Susan Wallace, NP

NPI #1013699131 in Tyler, Texas

Provider Information

NPI Number
1013699131
Entity Type
Individual
Name
Naomi Susan Wallace, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP
Enumeration Date
Aug 7, 2023
Last Updated
Aug 7, 2023

Practice Location

Address
912 S FLEISHEL AVE
City
Tyler
State
Texas
ZIP Code
75701-2018
Phone
(903) 592-6901

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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