Individual
TRESA C WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
201 N ILLINOIS ST, INDIANAPOLIS, IN 46204-1904
(888) 731-8994
Mailing address
2000 CANAL ST, NEW ORLEANS, LA 70112-3018
(504) 702-3928
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP07277
LA
Other
Enumeration date
04/17/2013
Last updated
12/26/2025
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