Naomi Susan Wallace
NP | Nurse Practitioner
912 S Fleishel Ave, Tyler
Texas, 75701-2018
903-592-6901
Naomi Susan Wallace is a Tyler, Texas based nurse practitioner. Active license number of Naomi Susan Wallace is 1128446 in Texas. Her current practice location is 912 S Fleishel Ave, Tyler. Patients can reach her at 903-592-6901. Naomi Susan Wallace is NP and her NPI number (Unique professional ID assigned by NPPES) is 1013699131.
Naomi Susan 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:
Naomi Susan Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Naomi Susan Wallace |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 912 S Fleishel Ave, Tyler,
Texas, 75701-2018 |
| Phone: | 903-592-6901 |
Professional Identification Codes:
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.
| NPI Number: | 1013699131 |
| NPI Enumeration Date: | 07 Aug, 2023 |
| NPI Last Update On: | 07 Aug, 2023 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Naomi Susan Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 1128446 | | Texas | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Naomi Susan Wallace
912 S Fleishel Ave,
Tyler, Texas |
| Zip: | 75701-2018 |
| Phone Number: | 903-592-6901 |
Patients can reach Naomi Susan Wallace at
912 S Fleishel Ave, Tyler, Texas or can
call to book an appointment on 903-592-6901.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.