Mr. William S Wallace is a Memphis, Tennessee based nurse practitioner with 23 years of experience in . He completed his graduation in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. William S Wallace is RN108204 for Family in Tennessee. His current practice location is 1200 Peabody Ave, Memphis. Patients can reach him at 901-272-0003 or can fax him at 901-272-7179. Mr. William S Wallace is FNP and his NPI number (Unique professional ID assigned by NPPES) is 1457334633. Mr. William S Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. William S Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0749183234
Enrollment ID:
I20040130001056
NPI Number:
1457334633
NPI Enumeration Date:
22 Nov, 2005
NPI Last Update On:
05 Mar, 2010
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. William S Wallace are as mentioned below.
License Number
Specialization
State
Status
RN108204
Family
Tennessee
Primary
108204
Registered Nurse
Tennessee
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. William S Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Church Health Center Of Memphis Inc (7517863392)
15
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. William S Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
3388963
Medicaid
Tennessee
4070262
Other
Tennessee
BLUE CROSS
000000028284
Other
Tennessee
TENNCARE TLC
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. William S Wallace Po Box 41527, Memphis, Tennessee
Zip:
38174-1527
Phone Number:
901-272-0003
Fax Number:
901-272-7179
Patients can reach Mr. William S Wallace at 1200 Peabody Ave, Memphis, Tennessee or can call to book an appointment on 901-272-0003.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.