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Tina Gayle Wallace
Licensed Vocational Nurse in Tyler, Texas
NPI 1881234219

Tina Gayle Wallace is a Licensed Vocational Nurse based in Tyler, TX. Tina Gayle Wallace practices in Tyler, TX. The NPI Number for Tina Gayle Wallace is 1881234219 and holds a License No. 349630 (Texas).

The current practice location address for Tina Gayle Wallace is 755 S Beckham Ave, Tyler, TX and can be reached out via phone at 903-534-4684.

Location: 755 S Beckham Ave, Tyler, TX, 75701-1903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881234219
Provider Name
Tina Gayle Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
755 S Beckham Ave, Tyler, TX, 75701-1903
Phone Number
903-534-4684
Fax Number
Provider Enumeration Date
01/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
755 S Beckham Ave
City
Tyler
State
Texas
Zip
75701-1903
Phone Number
903-534-4684
Fax Number
person
Provider Business Mailing Address Details
Address
755 S Beckham Ave
City
Tyler
State
Texas
Zip
75701-1903
Phone Number
903-534-4684
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
349630 (Texas)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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