Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR MONTANA WALLACE
Active Sole ProprietorTAYLOR MONTANA WALLACE is a Case Manager healthcare provider located in TISHOMINGO, Oklahoma. NPI 1255165189 is currently active in the NPPES registry. Verify at CMS.
Case Manager · TISHOMINGO, OK
Registration Details
- NPI Number
- 1255165189
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2024 (1.9475830976763 yrs)
- Last Updated
- Sep 2, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
602 E 24TH STTISHOMINGO, OK, 734603245Browse OK providers · Browse ZIP 73460
- Phone
- 3163122085
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in TISHOMINGO, OK
| Name | Credential | NPI |
|---|---|---|
| MRS. KRISTI ANN FORBES | BHCM1,C-PRSS | 1205129707 |
| MR. RANDAL COY FLINN | — | 1003199092 |
| HEATHER LOUISE LITTRELL | — | 1437428554 |
| JESSICA LENA CALHOON | — | 1518206192 |
| KEVIN EDMONDSON | — | 1194068049 |
| ETHAN WADE TAYLOR | — | 1841636115 |
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.