Provider Profile

Johntavia Wallace

Unclaimed Profile

About Johntavia Wallace

No biography has been added yet. Is this you? Claim this profile to add one.

Specialty

Credentials & Licensing

NPI1821726704
NPI issued08/10/2022

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Common questions

What is Johntavia Wallace's address?

Johntavia Wallace is listed at 220 Grand Regency Blvd, Brandon, FL 33510. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Johntavia Wallace?

The number on file is (813) 709-7989. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Johntavia Wallace's NPI number?

Johntavia Wallace's National Provider Identifier is 1821726704. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Johntavia Wallace been practicing?

Johntavia Wallace has 4+ years experience. Registered with an NPI since 2022. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Johntavia Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Johntavia Wallace. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.