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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE R WALLACE, NP

Active

Nurse Practitioner · ATHENS, GA

Registration Details

NPI Number
1124087879
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2006 (20.096492672532 yrs)
Last Updated
Mar 5, 2026
Licenses
RN136273 (GA)
RN136279 (GA)
RN136273 (GA)
RN136273 (GA)

Practice Information

Address
1230 BAXTER ST
ATHENS, GA, 306063712
Browse GA providers · Browse ZIP 30606
Phone
7063892273
Fax
7063892298
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in ATHENS, GA

Name Credential NPI
GRADY ELMORE N.P. 1205834009
GLENN CLINTON SHEDD FNP 1720074339
MRS. CAROL B NORTON FNP-C 1114906153
CARRIE WHEELER FLEMING NP-C 1467420307
MRS. CAROLINE CHAPMAN HAMRICK N.P. 1225092398
ANN MARIE EVANS NP 1255382719
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.