Madison Wallace, APN

NPI #1740703180 in Covington, Tennessee

Provider Information

NPI Number
1740703180
Entity Type
Individual
Name
Madison Wallace, APN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
APN
Enumeration Date
Jul 18, 2017
Last Updated
Apr 17, 2024

Practice Location

Address
1995 HIGHWAY 51 S STE 204
ZIP Code
38019-3655
Phone
(901) 475-5305

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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