Shannon L Wallace, FNP-BC, PMHNP-BC is a psychiatric/mental health nurse practitioner in Indianapolis, IN. Shannon L Wallace, FNP-BC, PMHNP-BC NPI is 1851481584. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1481 W 10TH ST
INDIANAPOLIS, IN
ZIP 46202-803
Phone: (317) 554-0000
The NPI 1851481584 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/13/2006 and was last updated on 9/27/2022.