Lisa Wallace, RN
NPI 1396403135 · Neonatal Intensive Care Registered Nurse · Jacksonville, FL
Lisa Wallace, RN is a Neonatal Intensive Care Registered Nurse provider in Jacksonville, FL (NPI 1396403135).
Provider details
- NPI number
- 1396403135
- Entity type
- Individual
- Primary specialty
- Neonatal Intensive Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN089537 (GA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
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
100% 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
Mailing address
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2021-11-29
- Certified
- 2021-11-29
Frequently asked questions
- What is Lisa Wallace's NPI number?
- Lisa Wallace's National Provider Identifier (NPI) is 1396403135, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Wallace's specialty?
- Lisa Wallace is listed in the NPPES registry with a primary specialty of Neonatal Intensive Care Registered Nurse (Nursing Service Providers).
- Where is Lisa Wallace located?
- Lisa Wallace's practice location on file with NPPES is 800 Prudential Dr, Jacksonville, FL 32207-8211.
- What is Lisa Wallace's phone number?
- The practice phone number listed in the NPPES registry for Lisa Wallace is (904) 202-8000.
- Is Lisa Wallace's NPI active?
- Yes — Lisa Wallace's NPI (1396403135) is active in the NPPES registry as of the last update on 2021-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.