Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA CATHERINE SIMS WALLACE, CRNP
ActiveLISA CATHERINE SIMS WALLACE, CRNP is a Pediatric Nurse Practitioner healthcare provider located in FLORENCE, Alabama. NPI 1770594400 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · FLORENCE, AL
Registration Details
- NPI Number
- 1770594400
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2006 (20.002737866144 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1756561 (AL)
Practice Information
- Address
-
421 WEST COLLEGE STINFANTS AND CHILDRENS CLINIC PCFLORENCE, AL, 35630Browse AL providers · Browse ZIP 35630
- Phone
- 2567649522
- Fax
- 2567641139
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in FLORENCE, AL
| Name | Credential | NPI |
|---|---|---|
| JEFFREY S CORNELIUS | CRNP | 1366450389 |
| CONNIE M ARNOLD | CRNP | 1316958036 |
| LAKEVA CASEY | — | 1255705000 |
| TAYLOR R KING | — | 1902455595 |
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.