person
Madison Wallace, APN
Family Nurse Practitioner in Covington, Tennessee
NPI 1740703180

Madison Wallace is a Family Nurse Practitioner based in Memphis, TN and is specialized in Family. Madison Wallace practices in Covington, TN and has the professional credentials of APN. The NPI Number for Madison Wallace is 1740703180 and holds a License No. 22760 (Tennessee).

The current practice location address for Madison Wallace is 1995 Highway 51 S Ste 204, Covington, TN and can be reached out via phone at 901-475-5305 and via fax at 901-475-5307.

Location: 1995 Highway 51 S Ste 204, Covington, TN, 38120-9401
person
Provider Profile Details
NPI Number
1740703180
Provider Name
Madison Wallace
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1995 Highway 51 S Ste 204, Covington, TN, 38120-9401
Phone Number
901-475-5305
Fax Number
901-475-5307
Provider Enumeration Date
07/18/2017
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1995 Highway 51 S Ste 204
City
State
Zip
38019-3655
Phone Number
901-475-5305
Fax Number
901-475-5307
person
Provider Business Mailing Address Details
Address
1995 Highway 51 S Ste 204
City
State
Zip
38019-3655
Phone Number
901-475-5305
Fax Number
901-475-5307
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
22760 (Tennessee)
Definition
Definition to come...
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