Tyler J Wallace

PMHNP-BC | Nurse Practitioner - Psych/Mental Health

Tyler J Wallace is a Paducah, Kentucky based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Tyler J Wallace is 4005513 for Psych/Mental Health in Kentucky. His current practice location is 4570 Pecan Dr Ste C, Paducah. Patients can reach him at 270-908-3839 or can fax him at 270-908-3834. Tyler J Wallace is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1114700739.
Tyler J Wallace provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.

Complete Profile:
Tyler J 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: Tyler J Wallace
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Credentials: PMHNP-BC
Practice Address:4570 Pecan Dr Ste C, Paducah,
Kentucky, 42001-6717
Phone:270-908-3839
Fax:270-908-3834
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: 1114700739
NPI Enumeration Date: 16 Aug, 2023
NPI Last Update On: 16 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 Tyler J Wallace are as mentioned below.
License NumberSpecializationStateStatus
4005513Psych/Mental Health KentuckyPrimary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Tyler J Wallace
4570 Pecan Dr Ste C,
Paducah, Kentucky
Zip: 42001-6717
Phone Number: 270-908-3839
Patients can reach Tyler J Wallace at 4570 Pecan Dr Ste C, Paducah, Kentucky or can call to book an appointment on 270-908-3839.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.