Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA CAROL WALLACE, FNP-BC
ActiveMRS. LISA CAROL WALLACE, FNP-BC is a Family Nurse Practitioner healthcare provider located in ALLERTON, Iowa. NPI 1003423658 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ALLERTON, IA
Registration Details
- NPI Number
- 1003423658
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2020 (5.83483144431 yrs)
- Last Updated
- Sep 28, 2020
- License
-
A160503 (IA)
Practice Information
- Address
-
2418 180TH STALLERTON, IA, 500088715Browse IA providers · Browse ZIP 50008
- Phone
- 6412030726
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.