TIFFANY WALLACE

GREENSBORO, NC
NPI1942804612
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NC  5013821)
Enumeration Date2020-11-24
Last Update Date2021-08-19
Business Address
Mrs. TIFFANY WALLACE DNP
719 GREEN VALLEY RD
GREENSBORO, NC 27408-7014
Phone number: 336-275-5391
Mailing Address
Mrs. TIFFANY WALLACE DNP
8552 DALTON RIDGE RD
KERNERSVILLE, NC 27284-7276
Phone number: 336-302-6180
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