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Ashley Lynette Wallace, MSN,APRN,FNP-C,
Primary Care Nurse Practitioner in Fort Worth, Texas
NPI 1679133573

Ashley Lynette Wallace is a Primary Care Nurse Practitioner based in Fort Worth, TX and is specialized in Primary Care. Ashley Lynette Wallace practices in Fort Worth, TX and has the professional credentials of MSN,APRN,FNP-C,. The NPI Number for Ashley Lynette Wallace is 1679133573 and holds a License No. AP141896 (Texas).

The current practice location address for Ashley Lynette Wallace is 1400 8Th Ave, Fort Worth, TX and can be reached out via phone at 817-922-4630.

Location: 1400 8Th Ave, Fort Worth, TX, 76104-4110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679133573
Provider Name
Ashley Lynette Wallace
Credential
MSN,APRN,FNP-C,
Provider Entity Type
Individual
Gender
Female
Address
1400 8Th Ave, Fort Worth, TX, 76104-4110
Phone Number
817-922-4630
Fax Number
Provider Enumeration Date
06/13/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP141896 01 TX TEXAS BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
1400 8Th Ave
City
Fort Worth
State
Texas
Zip
76104-4110
Phone Number
817-922-4630
Fax Number
person
Provider Business Mailing Address Details
Address
1400 8Th Ave
City
Fort Worth
State
Texas
Zip
76104-4110
Phone Number
817-922-4630
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
PENDING (Texas)
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
Primary Care
Taxonomy
363LP2300X
License No.
AP141896 (Texas)
Definition
Definition to come...
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