What is Ima Wallace's NPI number?

Ima Wallace's National Provider Identifier (NPI) is 1053063834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ima Wallace's specialty?

Ima Wallace is listed in the NPPES registry with a primary specialty of Other Technician (Technologists, Technicians & Other Technical Service Providers).

Where is Ima Wallace located?

Ima Wallace's practice location on file with NPPES is 9951 Atlantic Blvd Ste 300, Jacksonville, FL 32225-6574.

What is Ima Wallace's phone number?

The practice phone number listed in the NPPES registry for Ima Wallace is (833) 434-5223.

Is Ima Wallace's NPI active?

Yes — Ima Wallace's NPI (1053063834) is active in the NPPES registry as of the last update on 2022-06-17.

IndividualActive

Ima Wallace

NPI 1053063834 · Other Technician · Jacksonville, FL

Ima Wallace is a Other Technician provider in Jacksonville, FL (NPI 1053063834).

Provider details

NPI number: 1053063834
Entity type: Individual
Primary specialty: Other TechnicianTechnologists, Technicians & Other Technical Service Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

Other TechnicianPrimary247200000X
Technologists, Technicians & Other Technical Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9951 Atlantic Blvd Ste 300

Jacksonville, FL 32225-6574

Phone: (833) 434-5223

Fax: (888) 686-6271

Street-level locationGet directions

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Mailing address