Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HEATHER E WALLACE
ActiveHEATHER E WALLACE is a Gerontological Nurse Practitioner healthcare provider located in MACON, Georgia. NPI 1053856427 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · MACON, GA
Registration Details
- NPI Number
- 1053856427
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2016 (9.6060681057754 yrs)
- Last Updated
- Dec 27, 2016
- Licenses
-
RN197918 (GA)RN197918 (GA)
Practice Information
- Address
-
535 COLISEUM DRMACON, GA, 312170104Browse GA providers · Browse ZIP 31217
- Phone
- 4789720277
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Nurse Practitioner
Other Gerontological Nurse Practitioner Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| LAWANDA GREENE | NP | 1598152811 |
| MS. COURTNEY REEVES | AGNP-C | 1073999132 |
| MARY GAYLE SCHNEE | NP-C | 1770958589 |
| MICHELLE DUDLEY | AGPCNP | 1104276708 |
| SHARON ROUSE | NP | 1740736602 |
| CHRISTOPHER BLAKE ENNIS | ACNPC-AG | 1740739853 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.