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Katie Justine Wallace, FNP-BC
Family Nurse Practitioner in Mashpee, Massachusetts
NPI 1790151967

Katie Justine Wallace is a Family Nurse Practitioner based in Mashpee, MA and is specialized in Family. Katie Justine Wallace practices in Mashpee, MA and has the professional credentials of FNP-BC. The NPI Number for Katie Justine Wallace is 1790151967 and holds a License No. RN2264353 (Massachusetts).

The current practice location address for Katie Justine Wallace is Mashpee Family Medicine 5 Industrial Drive, Mashpee, MA and can be reached out via phone at 508-477-4282 and via fax at 508-539-6134. You can also correspond with Katie Justine Wallace through the mailing address at 5 INDUSTRIAL DRIVE, MASHPEE FAMILY MEDICINE, MASHPEE, MA - 02649-3544 (mailing address contact number: 508-477-4282).

Location: Mashpee Family Medicine 5 Industrial Drive, Mashpee, MA, 02649-3544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790151967
Provider Name
Katie Justine Wallace
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
Mashpee Family Medicine 5 Industrial Drive, Mashpee, MA, 02649-3544
Phone Number
508-477-4282
Fax Number
508-539-6134
Provider Enumeration Date
08/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Mashpee Family Medicine 5 Industrial Drive
City
Mashpee
State
Massachusetts
Zip
02649
Phone Number
508-477-4282
Fax Number
508-539-6134
person
Provider Business Mailing Address Details
Address
5 Industrial Drive, Mashpee Family Medicine
City
Mashpee
State
Massachusetts
Zip
02649-3544
Phone Number
508-477-4282
Fax Number
508-539-6134
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN2264353 (Massachusetts)
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
Family
Taxonomy
363LF0000X
License No.
RN2264353 (Massachusetts)
Definition
Definition to come...
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