MRS. Nicole Wallace PA

  • NPI 1508889254
According to our database, the NPI number for MRS. Nicole Wallace PA is 1508889254 and activated since 17 years ago. MRS. Nicole Wallace PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 1324 Lakeland Hills Blvd, Lakeland, FL 33805. You can also contact MRS. Nicole Wallace PA via telephone number is (863) 687-1132. Provider NPI information was last updated on 05/05/2010.

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Overview of MRS. Nicole Wallace PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 07/25/2006
  • Last updated: 05/05/2010

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA9103316
  • License State: FL

Provider Mailing Address

  • Address: 5026 Fairfax Dr
    Lakeland, FL 33813
  • Phone: 863-644-2455
  • Fax: 727-507-3618

Provider Practice Location

  • Address: 1324 Lakeland Hills Blvd
    Lakeland, FL 33805
  • Phone: 863-687-1132
  • Fax: 863-687-1439

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: PA9103316
  • License State: FL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MRS. Nicole Wallace PA?
  • A: The npi number for MRS. Nicole Wallace PA is 1508889254.
  • Q: What are MRS. Nicole Wallace PA's specialties?
  • A: MRS. Nicole Wallace PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for MRS. Nicole Wallace PA?
  • A: The medical license number for MRS. Nicole Wallace PA is PA9103316 and issued in FL in USA.
  • Q: Where is MRS. Nicole Wallace PA practice location?
  • A: MRS. Nicole Wallace PA is practicing at 1324 Lakeland Hills Blvd, Lakeland, FL 33805.
  • Q: How to contact MRS. Nicole Wallace PA?
  • A: You can contact MRS. Nicole Wallace PA via 863-687-1132.