Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP TYLER WALLACE, APRN
ActivePHILLIP TYLER WALLACE, APRN is a Nurse Practitioner healthcare provider located in JACKSONVILLE, Florida. NPI 1821647447 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1821647447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2019 (6.9607669626322 yrs)
- Last Updated
- Sep 19, 2022
- License
-
APRN11003275 (FL)
Practice Information
- Address
-
1325 SAN MARCO BLVD STE 300JACKSONVILLE, FL, 322078567Browse FL providers · Browse ZIP 32207
- Phone
- 9042536910
- Fax
- 9042536964
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| MRS. DAWN MICHELLE SAWYER | ARNP | 1639161466 |
| ROBERT C SANFORD | ARNP | 1063407880 |
| HEATHER ZAMUZ | ARNP | 1851388359 |
| MS. VALERIE ARMSTRONG | ARNP | 1407847593 |
| MS. KATHLEEN CAROL ARNTSON-MORGAN | ARNP | 1225029317 |
| SHELLY BROCK | ARNP | 1861483950 |
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.