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Marysa P Wallace, AGNP-C
Nurse Practitioner in Fayetteville, Georgia
NPI 1932989357

Marysa P Wallace is a Nurse Practitioner based in Atlanta, GA. Marysa P Wallace practices in Fayetteville, GA and has the professional credentials of AGNP-C. The NPI Number for Marysa P Wallace is 1932989357 and holds a License No. RN259981 (Georgia).

The current practice location address for Marysa P Wallace is 132 Old Norton Rd Ste 200, Fayetteville, GA and can be reached out via phone at 678-817-1117 and via fax at 678-817-0823.

Location: 132 Old Norton Rd Ste 200, Fayetteville, GA, 30341-1071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932989357
Provider Name
Marysa P Wallace
Credential
AGNP-C
Provider Entity Type
Individual
Gender
Female
Address
132 Old Norton Rd Ste 200, Fayetteville, GA, 30341-1071
Phone Number
678-817-1117
Fax Number
678-817-0823
Provider Enumeration Date
10/03/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
132 Old Norton Rd Ste 200
City
Fayetteville
State
Georgia
Zip
30215-4873
Phone Number
678-817-1117
Fax Number
678-817-0823
person
Provider Business Mailing Address Details
Address
132 Old Norton Rd Ste 200
City
Fayetteville
State
Georgia
Zip
30215-4873
Phone Number
678-817-1117
Fax Number
678-817-0823
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN259981 (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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