person
Heather Elizabeth Wallace, NP
Family Nurse Practitioner in Charleston, South Carolina
NPI 1962993634

Heather Elizabeth Wallace is a Family Nurse Practitioner based in Charlotte, SC and is specialized in Family. Heather Elizabeth Wallace practices in Charleston, SC and has the professional credentials of NP. The NPI Number for Heather Elizabeth Wallace is 1962993634 and holds a License No. 21745 (South Carolina).

The current practice location address for Heather Elizabeth Wallace is 1879 Savage Rd, Charleston, SC and can be reached out via phone at 843-763-9472 and via fax at 843-763-7411.

Location: 1879 Savage Rd, Charleston, SC, 28275-1649
person
Provider Profile Details
NPI Number
1962993634
Provider Name
Heather Elizabeth Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1879 Savage Rd, Charleston, SC, 28275-1649
Phone Number
843-763-9472
Fax Number
843-763-7411
Provider Enumeration Date
05/29/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP5266 05 SC
institution
Provider Business Practice Location Address Details
Address
1879 Savage Rd
City
State
Zip
29407-4726
Phone Number
843-763-9472
Fax Number
843-763-7411
person
Provider Business Mailing Address Details
Address
1879 Savage Rd
City
State
Zip
29407-4726
Phone Number
843-763-9472
Fax Number
843-763-7411
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
21745 (South Carolina)
Definition
Definition to come...
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