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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TIFFANY BRANDICE WALLACE

Active

MS. TIFFANY BRANDICE WALLACE is a Case Management Nurse healthcare provider located in SOUTHFIELD, Michigan. NPI 1972463222 is currently active in the NPPES registry. Verify at CMS.

Case Management Nurse · SOUTHFIELD, MI

Registration Details

NPI Number
1972463222
Provider Type
Individual
Gender
Female
NPI Issued
Nov 17, 2025 (0.7031365500658 yrs)
Last Updated
Jan 5, 2026
License
4704424595 (MI)

Practice Information

Address
29699 SOUTHFIELD RD
SOUTHFIELD, MI, 480762038
Browse MI providers · Browse ZIP 48076
Phone
2485595000
Primary Specialty
Case Management Nurse
163WC0400X

Other Case Management Nurse Providers in SOUTHFIELD, MI

Name Credential NPI
JACQUELYN PERKINS 1841612124
PATRICIA FELTON 1679992390
MRS. JENNIFER LYNNE PHILLIPS RN 1619564184
MS. TENITA ALLEN REGISTERED NURSE 1659125045
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.