Shereece Nichole Wallace, AGPCNP-BC is an adult health nurse practitioner in Saint Louis, MO with 7 years of experience. Shereece Nichole Wallace, AGPCNP-BC NPI is 1104338318. 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:
11155 DUNN RD STE 109N
SAINT LOUIS, MO
ZIP 63136-148
Phone: (314) 953-8799
The NPI 1104338318 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 10/27/2017 and was last updated on 8/17/2021.