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Heather E Wallace
Nurse Practitioner in Macon, Georgia
NPI 1053856427

Heather E Wallace is a Nurse Practitioner based in Macon, GA. Heather E Wallace practices in Macon, GA. The NPI Number for Heather E Wallace is 1053856427 and holds a License No. RN197918 (Georgia).

The current practice location address for Heather E Wallace is 535 Coliseum Dr, Macon, GA and can be reached out via phone at 478-972-0277. You can also correspond with Heather E Wallace through the mailing address at PO BOX 26698, MACON, GA - 31221-6698 (mailing address contact number: 478-972-0277).

Location: 535 Coliseum Dr, Macon, GA, 31221-6698
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053856427
Provider Name
Heather E Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
535 Coliseum Dr, Macon, GA, 31221-6698
Phone Number
478-972-0277
Fax Number
Provider Enumeration Date
12/21/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
535 Coliseum Dr
City
Macon
State
Georgia
Zip
31217-0104
Phone Number
478-972-0277
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 26698
City
Macon
State
Georgia
Zip
31221-6698
Phone Number
478-972-0277
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN197918 (Georgia)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN197918 (Georgia)
Definition
Definition to come...
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