person
Mr. Wallace Dale Fox JR., APRN
Psychiatric/Mental Health Nurse Practitioner in Clarksville, Indiana
NPI 1043731615

Wallace Dale Fox JR. is a Psychiatric/Mental Health Nurse Practitioner based in Clarksville, IN and is specialized in Psychiatric/Mental Health. Wallace Dale Fox JR. practices in Clarksville, IN and has the professional credentials of APRN. The NPI Number for Wallace Dale Fox JR. is 1043731615 and holds a License No. 71007238A (Indiana).

The current practice location address for Wallace Dale Fox JR. is 1400 Main St Unit 177, Clarksville, IN and can be reached out via phone at 812-946-2674 and via fax at 844-832-9625.

Location: 1400 Main St Unit 177, Clarksville, IN, 47129-3108
person
Provider Profile Details
NPI Number
1043731615
Provider Name
Wallace Dale Fox JR.
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
1400 Main St Unit 177, Clarksville, IN, 47129-3108
Phone Number
812-946-2674
Fax Number
844-832-9625
Provider Enumeration Date
07/04/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1400 Main St Unit 177
City
State
Zip
47129-3108
Phone Number
812-946-2674
Fax Number
844-832-9625
person
Provider Business Mailing Address Details
Address
1400 Main St Unit 177
City
State
Zip
47129-3108
Phone Number
812-946-2674
Fax Number
844-832-9625
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71007238A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
71007238A (Indiana)
Definition
Definition to come...
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