Robert Wallace in Jackson - Nurse Anesthetist, Certified Registered
Robert Wallace - NPI 1003950288
Robert Wallace is a Nurse Anesthetist, Certified Registered in Jackson, Tennessee. Robert Wallace practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Robert Wallace is 1003950288. The last update date is 2011-11-04.
Robert Wallace's current location address is 367 Hospital Blvd, Jackson, Tennessee. You can contact this provider via phone number 7316612227. The mailing address for Robert Wallace is 367 Hospital Blvd, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Wallace |
|---|---|
| Address | 367 Hospital Blvd, Jackson, Tennessee |
| Phone Number | 7316612227 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1003950288 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2011-11-04 |
Provider Mailing Address Detail
| Address | 367 Hospital Blvd |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383052080 |
| Phone Number | 7316612227 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 53447 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Post Comment/ Review Below
What is the unique identifier code issued to Robert Wallace by the Centers for Medicare & Medicaid Services?
The Robert Wallace has been assigned the NPI (National Provider Identifier) 1003950288. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Robert Wallace's facilities are situated?
The facilities of Robert Wallace are physically located at the following address: 367 Hospital Blvd, Jackson, TN, 383052080.
What is Robert Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Wallace's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Robert Wallace receive the assignment of its 1003950288 from the Centers for Medicare & Medicaid Services?
The Robert Wallace was issued its 1003950288 by the Centers for Medicare & Medicaid Services on 2007-02-19.
As of what date were the details pertaining to Robert Wallace last refreshed?
The information related to the Robert Wallace, including its address, specialty, and other relevant details, was last updated on 2011-11-04.
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