Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLA DENNISE WALLACE, A-GNP-C
Active Sole ProprietorCARLA DENNISE WALLACE, A-GNP-C is a Gerontological Nurse Practitioner healthcare provider located in PEARLAND, Texas. NPI 1164122149 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · PEARLAND, TX
Registration Details
- NPI Number
- 1164122149
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2023 (3.3956483768828 yrs)
- Last Updated
- Feb 20, 2026
- License
-
1095104 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2421 COPPER SKY DRPEARLAND, TX, 775843782Browse TX providers · Browse ZIP 77584
- Phone
- 4093500016
- Fax
- 8776732947
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in PEARLAND, TX
| Name | Credential | NPI |
|---|---|---|
| MRS. LAURA N PEDERSEN FOREMAN | GNP | 1265744361 |
| SHEEBA GEORGE | MS, APRN,ACNPC-AG | 1568839058 |
| JAMES MATHEW KALLICKAL | ACAGNP | 1619511276 |
| MARGARET UKPONG ADESINA | — | 1437821683 |
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.