Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE MARIE WALLACE, NP-C
ActiveAdult Health Nurse Practitioner · COLUMBUS, GA
Registration Details
- NPI Number
- 1548650617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2015 (11.238234291055 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
A0714020 (AL)RN243697 (GA)
Practice Information
- Address
-
118 ENTERPRISE CT STE BCOLUMBUS, GA, 319049228Browse GA providers · Browse ZIP 31904
- Phone
- 7063301389
- Fax
- 7063301392
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in COLUMBUS, GA
| Name | Credential | NPI |
|---|---|---|
| MR. BOBBY G LANDRUM | NP | 1285662486 |
| LAUREN W DEMAREST | NP-C | 1144663170 |
| COURTNI SCHAAF | NP | 1003225137 |
| TERESA DAVILA | NP-C | 1235523044 |
| KATHY MARSHALL | RNP-C | 1780033118 |
| MRS. DIXIE PETERSON | NP-C | 1609229863 |
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.