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Marlyn M. Wallace
Nurse Practitioner in Conyers, Georgia
NPI 1144790973

Marlyn M. Wallace is a Nurse Practitioner based in Conyers, GA. Marlyn M. Wallace practices in Conyers, GA. The NPI Number for Marlyn M. Wallace is 1144790973 and holds a License No. RN182038 (Georgia).

The current practice location address for Marlyn M. Wallace is 3073 Klondike Rd Sw, Conyers, GA and can be reached out via phone at 678-558-3106.

Location: 3073 Klondike Rd Sw, Conyers, GA, 30094-5660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144790973
Provider Name
Marlyn M. Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
3073 Klondike Rd Sw, Conyers, GA, 30094-5660
Phone Number
678-558-3106
Fax Number
Provider Enumeration Date
12/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3073 Klondike Rd Sw
City
Conyers
State
Georgia
Zip
30094-5660
Phone Number
678-558-3106
Fax Number
person
Provider Business Mailing Address Details
Address
3073 Klondike Rd Sw
City
Conyers
State
Georgia
Zip
30094-5660
Phone Number
678-558-3106
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN182038 (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.
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