Kendall Wallace, APRN
NPI 1003391061 · Family Nurse Practitioner · Urbana, IL
Kendall Wallace, APRN is a Family Nurse Practitioner provider in Urbana, IL (NPI 1003391061).
Provider details
- NPI number
- 1003391061
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 209017908 (IL)
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-09-26
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.