Nichole Wallace, PA

Individual Active
NPI 1114379708
Medical Physician Assistant Brooklyn, NY

Nichole Wallace, PA holds NPI 1114379708, with a primary taxonomy of medical physician assistant and a practice location in Brooklyn, NY. The number was issued on July 6, 2016 and the NPPES record was last updated on August 18, 2023. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X Not listed

Practice locations

760 Broadway
Brooklyn, NY 11206-5317
Phone: (718) 312-2312
10959 W Colonial Dr
Units 6&8
Ocoee, FL 34761
Phone: (407) 554-4591

Local context

Active NPPES records list 2,192 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 1,288 of them within 10 miles.

The same primary taxonomy is listed by 3,709 in New York and 40,192 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Nichole Wallace
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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