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CHARLESTON WALLACE, FNP
FNP
Family Nurse Practitioner
NPI: 1851960421IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
225188(TN)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
30307(TN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
MEMPHIS HOSPITAL MEDICAL COLLEGE
Class of 2021
Contact & Hours
Via practice · 2 locations total
- Address
- 595 Natchez Trace Dr
Lexington, TN 38351 - Phone
- (731) 307-9413
Quick Facts
- NPI
- 1851960421
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 5
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