Provider Profile

Nicole Wallace, PA

Unclaimed Profile

About Nicole Wallace

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Specialty

Physician Assistant (Primary)

Credentials & Licensing

FL licensePA9103316
NPI1508889254
NPI issued07/25/2006

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Nicole Wallace?

Nicole Wallace is a physician assistant in Lakeland, FL. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Nicole Wallace's address?

Nicole Wallace is listed at 1324 Lakeland Hills Blvd, Lakeland, FL 33805. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Nicole Wallace?

The number on file is (863) 687-1132. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Nicole Wallace's NPI number?

Nicole Wallace's National Provider Identifier is 1508889254. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Nicole Wallace been practicing?

Nicole Wallace has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Nicole Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Nicole Wallace. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.