Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EBONIE WALLACE
ActiveEBONIE WALLACE is a Case Manager healthcare provider located in DAYTONA BEACH, Florida. NPI 1871044255 is currently active in the NPPES registry. Verify at CMS.
Case Manager · DAYTONA BEACH, FL
Registration Details
- NPI Number
- 1871044255
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2016 (9.8382129219179 yrs)
- Last Updated
- Feb 18, 2021
Practice Information
- Address
-
140 S BEACH ST STE 310DAYTONA BEACH, FL, 321144409Browse FL providers · Browse ZIP 32114
- Phone
- 3868986040
- Fax
- 3862562320
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in DAYTONA BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| PAMELA GAIL BEDARD | MSW | 1699745620 |
| JULIE MAE SCHOONOVER | BS | 1043351828 |
| RODNEY D CURTIS | — | 1922133644 |
| MS. PATRICIA K. WELCH | — | 1306972864 |
| MRS. AMY V BALLOU | BA | 1487770137 |
| ELIZABETH LEGARY | — | 1942327069 |
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.