Wallace, Laura Ann

Wallace, Laura Ann is an individual health care provider with primary practice located at 1445 Us Highway 51 Byp E , Dyersburg TN 38024-2127. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Laura Ann can be contacted via phone (731) 286-1900.

Contact Information

Primary practice address
1445 Us Highway 51 Byp E Dyersburg TN 38024-2127
Phone: (731) 286-1900
Fax: (731) 286-1939
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000015481 Tennessee

Profile Details

NPI number 1265737753
LBN Legal business name Wallace, Laura Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2011
Last updated Oct 7th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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