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

Tashoy M Wallace, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1891301164

Tashoy M Wallace, APRN is a Nurse Practitioner in Orlando, Florida. Qualified in 2020, 6 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
6
Licensed in
FL, GA
In the registry since
2020
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.

See every abbreviation used in this directory →

Practice location Address checks out

89 W Copeland Dr Fl 2
Orlando, FL 32806-2002
Phone: (321) 841-7550
Fax: (321) 841-8185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 121 Odyssey Turn, Conyers, GA 30012-3681 — (404) 384-8019

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN11016381 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN205003 (GA)

Record details

NPI number1891301164
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 21, 2020
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025
Mailing address1414 Kuhl Ave # Mp38, Orlando, FL 32806-2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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