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

Tiffany Marie Wallace

Individual provider Acute Care Nurse Practitioner · NPI 1609740448

Tiffany Marie Wallace is a Nurse Practitioner in Zanesville, Ohio. Qualified in 2025, 1 year ago. Practices with Genesis Medical Group, LLC, a 262-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025

Practice location Address checks out

999 Garden Rd
Zanesville, OH 43701-1330
Phone: (740) 454-8193
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN.464702 (OH)

Record details

NPI number1609740448
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 3, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Genesis Medical Group, Llc — 262 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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