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

Tabitha Wallace, RN

Individual provider Registered Nurse · NPI 1659094746

Tabitha Wallace, RN is a Registered Nurse in Mount Vernon, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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

55D Ehrbar Ave Apt GM
Mount Vernon, NY 10552-2443
Phone: (917) 501-8884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 819637 (NY)

Record details

NPI number1659094746
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 21, 2022
Mailing address55d Ehrbar Ave Apt Gm, Mount Vernon, NY 10552-2443

Other providers in Mount Vernon