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

MR. CORY WALLACE, RN, BSN

Active

MR. CORY WALLACE, RN, BSN is a Nurse Practitioner healthcare provider located in SOMERSET, New Jersey. NPI 1255066411 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · SOMERSET, NJ

Registration Details

NPI Number
1255066411
Provider Type
Individual
Gender
Male
NPI Issued
Jul 21, 2022 (4.0619317558673 yrs)
Last Updated
Feb 1, 2026
Licenses
26NJ15461200 (NJ)
26NR20435100 (NJ)

Practice Information

Address
30 ULYSSES RD
SOMERSET, NJ, 088731049
Browse NJ providers · Browse ZIP 08873
Phone
9734628797
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
General Practice Nurse

Other Nurse Practitioner Providers in SOMERSET, NJ

Name Credential NPI
PATRICIA A SEUFFERT APN 1518154574
DIANE M FRENCH APRN 1366619330
MS. CECILIA W. DAVID ACNP 1497907117
MRS. MARLENE CAREY APN 1205215696
MAGGY LAWRENCE NURSE PRACTITIONER 1881192714
SHARON C ENOS ARNP 1457854325
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.