Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Timothy Thomas Wallace Jr., RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1003072414

Mr. Timothy Thomas Wallace Jr., RN is a Psychiatric/Mental Health Registered Nurse in Brecksville, Ohio. Licensed in Ohio. Registered with an NPI since 2008.

Licensed in
OH
In the registry since
2008
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

10000 Brecksville Rd
Brecksville, OH 44141-3204
Phone: (440) 526-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence RN295020 (OH)

Record details

NPI number1003072414
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 5, 2008
Last updated in NPPESAugust 5, 2008

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