MS. TIFFANY BRANDICE WALLACE
NPI 1972463222
Registered Nurse - Case Management in Southfield, MI

Active since November 17, 2025
29699 SOUTHFIELD RD, SOUTHFIELD, MI 48076(248) 559-5000 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Nov 17, 2025 (2 updates tracked since 2025).

About Ms. Tiffany Brandice Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TIFFANY BRANDICE WALLACE (NPI 1972463222) is an individual case management provider in Southfield, Michigan, licensed in Michigan (4704424595) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1972463222
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameMS. TIFFANY BRANDICE WALLACE
Location Address29699 SOUTHFIELD RDSouthfield, MI 48076-2038
Mailing Address29699 Southfield RdSouthfield, MI 48076-2038 · (248) 559-5000
Sole ProprietorNo
Enumeration DateNovember 17, 2025
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
NPI 1972463222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License Licensed in MI · 4704424595
29699 SOUTHFIELD RD, Southfield, MI 48076

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
29699 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Case Manager/Care Coordinator
29699 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Social Worker
29699 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Case Manager/Care Coordinator
29699 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Registered Nurse
29699 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Counselor (Professional)
29699 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Social Worker (Clinical)
29699 SOUTHFIELD RD
SOUTHFIELD, MI 48076
Social Worker (Clinical)
29699 SOUTHFIELD RD
SOUTHFIELD, MI 48076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Wallace's NPI number?

The NPI number for Tiffany Wallace is 1972463222. It was assigned to this individual provider in the NPPES registry on November 17, 2025.

Where is Tiffany Wallace located?

Tiffany Wallace practices at 29699 Southfield Rd, Southfield, MI 48076. The listed phone number is (248) 559-5000.

What is Tiffany Wallace's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Tiffany Wallace was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.