Deborah Wallace, FNP-C
Nurse Practitioner, Family in Manalapan, New Jersey
1215387832- Practice location
- 20 Kilmer Dr, Manalapan, NJ 07726-3709
- Phone
- 229-596-7531
- Fax
- —
- Last updated
- September 22, 2026
Deborah Wallace is a Nurse Practitioner, Family based in Manalapan, NJ. Deborah Wallace practices in Manalapan, NJ and has the professional credentials of FNP-C. The NPI Number for Deborah Wallace is 1215387832 and holds a License No. RN2387963 (MA). The current practice location address for Deborah Wallace is 20 Kilmer Dr, Manalapan, NJ 07726-3709 and can be reached out via phone at 229-596-7531.
Provider Profile Details
- NPI Number
- 1215387832
- Provider Name
- Deborah Wallace
- Credential
- FNP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 20 Kilmer Dr, Manalapan, NJ 07726-3709
- Phone Number
- 229-596-7531
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 14, 2016
- Last Update Date
- September 22, 2026
- Certification Date
- September 22, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Kilmer Dr
Manalapan, NJ 07726-3709 - City
- Manalapan
- State
- New Jersey
- Zip
- 07726-3709
- Phone Number
- 229-596-7531
Provider Business Mailing Address Details
- Address
- 20 Kilmer Dr
Manalapan, NJ 07726-3709 - City
- Manalapan
- State
- NJ
- Zip
- 07726-3709
- Phone Number
- 229-596-7531
License Information
- License Number (1)
- RN2387963
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 101.0136587
- License State (2)
- VT
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X
- License Number (3)
- 26NJ00646700
- License State (3)
- NJ
- Taxonomy (3)
- Nurse Practitioner, Family · 363LF0000X · Primary
- License Number (4)
- 092217-21
- License State (4)
- NH
- Taxonomy (4)
- Nurse Practitioner, Family · 363LF0000X
- License Number (5)
- APRN03922
- License State (5)
- RI
- Taxonomy (5)
- Nurse Practitioner, Family · 363LF0000X
- License Number (6)
- LG-0012458
- License State (6)
- DE
- Taxonomy (6)
- Nurse Practitioner, Family · 363LF0000X
- License Number (7)
- AC004923
- License State (7)
- MD
- Taxonomy (7)
- Nurse Practitioner, Family · 363LF0000X
- License Number (8)
- NP00012510
- License State (8)
- DC
- Taxonomy (8)
- Nurse Practitioner, Family · 363LF0000X
- License Number (9)
- 11022555
- License State (9)
- FL
- Taxonomy (9)
- Nurse Practitioner, Family · 363LF0000X
- License Number (10)
- CNP231539
- License State (10)
- ME
- Taxonomy (10)
- Nurse Practitioner, Family · 363LF0000X
- License Number (11)
- APRN.CNP.0034552
- License State (11)
- OH
- Taxonomy (11)
- Nurse Practitioner, Family · 363LF0000X
- License Number (12)
- 4007693
- License State (12)
- KY
- Taxonomy (12)
- Nurse Practitioner, Family · 363LF0000X
- License Number (13)
- 53-82466-081
- License State (13)
- KS
- Taxonomy (13)
- Nurse Practitioner, Family · 363LF0000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Deborah Wallace, FNP-C?
The NPI number of Deborah Wallace, FNP-C is 1215387832. It was assigned on June 14, 2016 and is currently active in the NPPES registry.
What is the specialty of Deborah Wallace, FNP-C?
Deborah Wallace, FNP-C is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2387963.
Where does Deborah Wallace, FNP-C practice?
The practice location is 20 Kilmer Dr, Manalapan, NJ 07726-3709. The office can be reached at 229-596-7531 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215387832 directly on the NPPES registry website.