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ALEXIS ROCHELLE WALLACE BSN, RN
NPI 1073448171
Student in an Organized Health Care Education/Training Program in Charleston, SC

Active since June 17, 2026
4205 MARILYN DR, CHARLESTON, SC 29418(854) 276-0252 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexis Rochelle Wallace Bsn, Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXIS ROCHELLE WALLACE BSN, RN (NPI 1073448171) is an individual student in an organized health care education/training program in Charleston, South Carolina and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1073448171
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALEXIS ROCHELLE WALLACECredential: BSN, RN
Location Address4205 MARILYN DRCharleston, SC 29418-5846
Mailing Address4205 Marilyn DrCharleston, SC 29418-5846
Phone(854) 276-0252
Sole ProprietorYes
Enumeration DateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1073448171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4205 MARILYN DR, Charleston, SC 29418
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexis Wallace's NPI number?

The NPI number for Alexis Wallace is 1073448171. It was assigned to this individual provider in the NPPES registry on June 17, 2026.

Where is Alexis Wallace located?

Alexis Wallace practices at 4205 Marilyn Dr, Charleston, SC 29418. The listed phone number is (854) 276-0252.

What is Alexis Wallace's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Alexis Wallace was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.