LAURA ANN WALLACE

DYERSBURG, TN
NPI1265737753
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  APN0000015481)
Enumeration Date2011-01-14
Last Update Date2014-10-07
Business Address
-- LAURA ANN WALLACE A.P.N
1445 US HIGHWAY 51 BYP E
DYERSBURG, TN 38024-2127
Phone number: 731-286-1900
Mailing Address
-- LAURA ANN WALLACE A.P.N
1445 US HIGHWAY 51 BYP E
DYERSBURG, TN 38024-2127
Phone number: 731-286-1900