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

Terri Wallace, FNP

Individual provider Family Nurse Practitioner · NPI 1356796262

Terri Wallace, FNP is a Nurse Practitioner in Memphis, Tennessee. Qualified in 2015, 11 years ago. Practices with Dedicated Physicians Group of Tennessee, PLLC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi and Tennessee.

Years since qualifying
11
Licensed in
MS, TN
In the registry since
2016
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1056 E Raines Rd
Memphis, TN 38116-6337
Phone: (901) 300-5777
Fax: (901) 422-6092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6000 Poplar Ave Ste 250, Memphis, TN 38119-3974 — (901) 625-5408

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 21186 (TN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 21186 (TN)
Nurse Practitioner Taxonomy 363L00000X · Licence 904130 (MS)

Record details

NPI number1356796262
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 28, 2016
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dedicated Physicians Group Of Tennessee, Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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