Nurse Practitioner, Pediatrics
LISA WALLACE CRNP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1770594400 · enumerated 2006-08-10 · record updated 2007-07-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 421 WEST COLLEGE ST, FLORENCE, AL, 35630 (256) 764-9522 Fax (256) 764-1139 Google Maps Apple Maps OpenStreetMap
- Practice location 421 WEST COLLEGE ST, INFANTS AND CHILDRENS CLINIC PC, FLORENCE, AL, 35630 (256) 764-9522 Fax (256) 764-1139 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 1756561 AL
In this directory
AL Lauderdale County Florence Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
FLORENCE, AL, 35630
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.