Mrs. Phyllis A Wallace, APRN
Mrs. Phyllis A Wallace, APRN is a Nurse Practitioner in Konawa, Oklahoma. Graduated from University of Nebraska College of Medicine in 2002, 24 years ago. Practices with Central Oklahoma Family Medical Center Inc, a 57-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 24
- Trained at
- University of Nebraska College of Medicine
- Licensed in
- OK
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- APRN — Advanced Practice Registered Nurse
- The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
Practice location Address checks out
527 W 3rd StKonawa, OK 74849-1415
Phone: (580) 925-3286
Fax: (580) 925-9149
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 35497 (OK) |
|---|---|
| Women's Health Nurse Practitioner | Taxonomy 363LW0102X · Licence R0035497 (OK) |
Record details
| NPI number | 1366486417 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APRN |
| Sole proprietor | No |
| NPI enumerated | June 16, 2006 |
| Last updated in NPPES | November 22, 2021 |
| Certification date | November 22, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduated | 2002 (24 years in practice) |
| Group practice | Central Oklahoma Family Medical Center Inc — 57 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |