MRS. Laura Wallace, RN

NPI #1699594788 in Clinton, Tennessee

Provider Information

NPI Number: 1699594788
Entity Type: Individual
Name: MRS. Laura Wallace, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Oct 7, 2024
Last Updated: Oct 7, 2024

Practice Location

Address: 710 N MAIN ST
City: Clinton
State: Tennessee
ZIP Code: 37716-3143
Phone: (865) 425-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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