location
search-icon
person
Shereece Nichole Wallace, DNP,AGPCNP-BC
Nurse Practitioner in Belleville, Illinois
NPI 1104338318

Shereece Nichole Wallace is a Nurse Practitioner based in Saint Louis, IL. Shereece Nichole Wallace practices in Belleville, IL and has the professional credentials of DNP,AGPCNP-BC. The NPI Number for Shereece Nichole Wallace is 1104338318 and holds a License No. 2017038282 (Illinois).

The current practice location address for Shereece Nichole Wallace is 4500 Memorial Dr, Belleville, IL and can be reached out via phone at 618-257-6220 and via fax at 618-257-6679.

Location: 4500 Memorial Dr, Belleville, IL, 63141-8512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104338318
Provider Name
Shereece Nichole Wallace
Credential
DNP,AGPCNP-BC
Provider Entity Type
Individual
Gender
Female
Address
4500 Memorial Dr, Belleville, IL, 63141-8512
Phone Number
618-257-6220
Fax Number
618-257-6679
Provider Enumeration Date
10/27/2017
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
4500 Memorial Dr
City
Belleville
State
Illinois
Zip
62226-5360
Phone Number
618-257-6220
Fax Number
618-257-6679
person
Provider Business Mailing Address Details
Address
4500 Memorial Dr
City
Belleville
State
Illinois
Zip
62226-5360
Phone Number
618-257-6220
Fax Number
618-257-6679
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209017027 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2017038282 (Missouri)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.

Similar Doctors in Belleville, Illinois:

person
Sheila Ann Dunn
NPI 1659333532
Nurse Practitioner
6500 W Main St,
BELLEVILLE, IL
62223-3700
800-228-5459
More