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

MS. Tiffany Brandice Wallace

Individual provider Case Management Registered Nurse · NPI 1972463222

MS. Tiffany Brandice Wallace is a Case Management Registered Nurse in Southfield, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
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Practice location Address checks out

29699 Southfield Rd
Southfield, MI 48076-2038
Phone: (248) 559-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence 4704424595 (MI)

Record details

NPI number1972463222
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 17, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

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