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Dr. Tamara Jane Wallace, NP
Neonatal Nurse Practitioner in Columbus, Ohio
NPI 1073780045

Tamara Jane Wallace is a Neonatal Nurse Practitioner based in Westerville, OH and is specialized in Neonatal. Tamara Jane Wallace practices in Columbus, OH and has the professional credentials of NP. The NPI Number for Tamara Jane Wallace is 1073780045 and holds a License No. APN0000015454 (Ohio).

The current practice location address for Tamara Jane Wallace is 700 Childrens Dr, Columbus, OH and can be reached out via phone at 614-361-8430. You can also correspond with Tamara Jane Wallace through the mailing address at 6283 ENCLAVE BLVD, WESTERVILLE, OH - 43082-7576 (mailing address contact number: 614-361-8430).

Location: 700 Childrens Dr, Columbus, OH, 43082-7576
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Provider Profile Details
NPI Number
1073780045
Provider Name
Tamara Jane Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
700 Childrens Dr, Columbus, OH, 43082-7576
Phone Number
614-361-8430
Fax Number
Provider Enumeration Date
05/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0201101 05 OH
606646 01 WELL CARE
4299578 01 TN TNCARE BLCARE
129252 05 AL
003109104C 05 GA
003109104C 01 GA AMERIGROUP GA
institution
Provider Business Practice Location Address Details
Address
700 Childrens Dr
City
State
Zip
43205-2664
Phone Number
614-361-8430
Fax Number
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Provider Business Mailing Address Details
Address
700 Childrens Dr
City
State
Zip
43205-2664
Phone Number
614-361-8430
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
APN0000015454 (Tennessee)
Definition
Definition to come...
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