Wallace, Shereece Nichole

Wallace, Shereece Nichole is an individual health care provider with primary practice located at 1 Memorial Dr , Alton IL 62002-6722. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Wallace, Shereece Nichole can be contacted via phone (618) 463-7240.

Contact Information

Primary practice address
1 Memorial Dr Alton IL 62002-6722
Phone: (618) 463-7240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209017027 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017027 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2017038282 Missouri

Profile Details

NPI number 1104338318
LBN Legal business name Wallace, Shereece Nichole
Credentials DNP, AGPCNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2017
Last updated Sep 25th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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