Wallace, Teresa M
Wallace, Teresa M is an individual health care provider with primary practice located at 1880 Old Highway 51 S Ste C , Brighton TN 38011-8025. 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, Teresa M can be contacted via phone (901) 837-7979.Contact Information
Primary practice address
1880 Old Highway 51 S Ste C
Brighton TN 38011-8025
Phone: (901) 837-7979
Fax: (901) 837-7999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 14863 | Tennessee |
Profile Details
| NPI number | 1225357635 |
|---|---|
| LBN Legal business name | Wallace, Teresa M |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2010 |
| Last updated | Mar 7th, 2023 - about last year |
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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