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Teresa Wallace, APN
NPI 1225357635 · on the registry since 2010
Practice
- Address
- 1880 Old Highway 51 S Ste C
Brighton, TN 38011 - Phone
- (901) 837-7979
- Fax
- (901) 837-7999
- Organisation at this address
- Charles L Porter
True Colors Autism Treatment CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 40
Registry record
- Primary taxonomy
- Family Nurse Practitioner
363LF0000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee