IndividualActive
Alexandria Wallace
NPI 1811468135 · Family Nurse Practitioner · Huntsville, AL
Provider details
- NPI number
- 1811468135
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1-143113 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4810 Whitesport Cir Sw Ste 110
Huntsville, AL 35801-7439
Phone: (205) 977-9876
Fax: (205) 977-9976
Approximate (ZIP-level) locationGet directions
Mailing address
707 W Market St Ste C
Athens, AL 35611-2463
Additional practice locations (1)
- 802 Bank St NeDecatur, AL 35601-1612Phone: (205) 977-9876Fax: (205) 977-9976
Registry dates
- Enumerated
- 2018-12-14
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.