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

Tiffany R Wallace

Individual provider Personal Care Attendant · NPI 1417563735

Tiffany R Wallace is a Personal Care Attendant in Montgomery, West Virginia. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

78 4th Ave Apt 3
Montgomery, WV 25136-2434
Phone: (681) 945-4333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1417563735
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESDecember 23, 2022
Certification dateDecember 23, 2022
Mailing address78 4th Ave Apt 3, Montgomery, WV 25136-2434

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