Physician Profile

Unclaimed Profile

About WALLACE

Phillip Tyler Wallace, APRN is a nurse practitioner based in Jacksonville, FL. Medicare claims data shows Phillip provided 504 services to 312 patients.

Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.

Education & Training

Medical School Other Graduated: 2019

Areas of Expertise

NURSE PRACTITIONER (Primary)

Licensing & Certification

FL licenseAPRN11003275
NPI1821647447
NPI issued09/06/2019

Source: NPPES NPI Registry

Common questions

What kind of doctor is Dr. Wallace?

Dr. Wallace is a nurse practitioner in Jacksonville, FL. This is the primary taxonomy recorded against the NPI in the federal registry, listed there as “NURSE PRACTITIONER”.

NPI registry

What is Dr. Wallace's address?

Dr. Wallace is listed at 4500 SAN PABLO RD S, Jacksonville, FL 32224. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Dr. Wallace?

The number on file is (904) 953-2000. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Dr. Wallace?

Dr. Wallace's National Provider Identifier is 1821647447. 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

Where did Dr. Wallace train?

Dr. Wallace attended Other, graduating in 2019. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Dr. Wallace have?

Dr. Wallace has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.

CMS public data

What procedures does Dr. Wallace perform?

According to Medicare billing data, Dr. Wallace performs procedures including insertion of artery tube for blood sampling or infusion through skin, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Is Dr. Wallace's profile verified?

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

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