person
Shannon L Wallace, FNP-BC,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Indianapolis, Indiana
NPI 1851481584

Shannon L Wallace is a Psychiatric/Mental Health Nurse Practitioner based in Syracuse, IN and is specialized in Psychiatric/Mental Health. Shannon L Wallace practices in Indianapolis, IN and has the professional credentials of FNP-BC,PMHNP-BC. The NPI Number for Shannon L Wallace is 1851481584 and holds a License No. 71001501 (Indiana).

The current practice location address for Shannon L Wallace is 1481 W 10Th St, Indianapolis, IN and can be reached out via phone at 317-554-0000. You can also correspond with Shannon L Wallace through the mailing address at 12670 N RAINEY RD W, SYRACUSE, IN - 46567-9784 (mailing address contact number: 317-753-6323).

Location: 1481 W 10Th St, Indianapolis, IN, 46567-9784
person
Provider Profile Details
NPI Number
1851481584
Provider Name
Shannon L Wallace
Credential
FNP-BC,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1481 W 10Th St, Indianapolis, IN, 46567-9784
Phone Number
317-554-0000
Fax Number
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1481 W 10Th St
City
State
Zip
46202-2803
Phone Number
317-554-0000
Fax Number
person
Provider Business Mailing Address Details
Address
12670 N Rainey Rd W
City
State
Zip
46567-9784
Phone Number
317-753-6323
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71001501 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
71001501 (Indiana)
Definition
Definition to come...
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