Shereece Nichole Wallace is a Belleville, Illinois based nurse practitioner with 7 years of experience in Adult Health. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Shereece Nichole Wallace is 209017027 in Illinois. Her current practice location is 4500 Memorial Dr, Belleville. Patients can reach her at 618-257-6220 or can fax her at 618-257-6679. Shereece Nichole Wallace is DNP, AGPCNP-BC with specialization in Adult Health and her NPI number (Unique professional ID assigned by NPPES) is 1104338318. Shereece Nichole Wallace can evaluate, diagnose patients overall wellness, and conditions such as cancer, heart disease, diabetes, arthritis, sports injuries, and other ailments. She can see patients and promote healthy living and wellness. She can perform physical examinations, order and interpret tests, prescribe medications and treatments, and can also provide education and counseling to patients on wellness strategies and disease prevention.
Complete Profile:
Shereece Nichole Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Shereece Nichole Wallace
Specialization:
Adult Health Nurse Practitioner (ANP)
Gender:
Female
Credentials:
DNP, AGPCNP-BC
Experience:
7+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
4500 Memorial Dr, Belleville, Illinois, 62226-5360
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
1557627049
Enrollment ID:
I20171116001820
NPI Number:
1104338318
NPI Enumeration Date:
27 Oct, 2017
NPI Last Update On:
28 Mar, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shereece Nichole Wallace are as mentioned below.
License Number
Specialization
State
Status
209017027
Illinois
Primary
2017038282
Adult Health
Missouri
Secondary
209017027
Adult Health
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(260180)
Saint louis, MO
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Shereece Nichole Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Fairview Heights Medical Group Sc (6800784083)
279
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shereece Nichole Wallace 660 Mason Ridge Center Dr Ste 300, Saint Louis, Missouri
Zip:
63141-8512
Phone Number:
314-448-3791
Fax Number:
636-996-7658
Patients can reach Shereece Nichole Wallace at 4500 Memorial Dr, Belleville, Illinois or can call to book an appointment on 618-257-6220.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.