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DUSTIN W WALLACE CRNP
NPI 1275906158
Nurse Practitioner in Birmingham, AL

Active since November 02, 2015
833 PRINCETON AVE SW, POB III; SUITE 200A, BIRMINGHAM, AL 35211(205) 786-2776 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dustin W Wallace Crnp NPPES

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

DUSTIN W WALLACE CRNP (NPI 1275906158) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-133041) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1275906158
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDUSTIN W WALLACECredential: CRNP
Location Address833 PRINCETON AVE SW, POB III; SUITE 200ABirmingham, AL 35211-1323
Mailing Address833 Princeton Ave Sw, Pob Iii; Suite 200aBirmingham, AL 35211-1323
Phone(205) 786-2776
Sole ProprietorNo
Enumeration DateNovember 2, 2015
✔ NPI 1275906158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-133041
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
833 PRINCETON AVE SW, Birmingham, AL 35211
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH BRACHER MD
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-7663
MORGAN HYDE STEADING CRNP
Nurse Practitioner (Family)
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 786-2776
DR. EMILY CAROLINE HOUSTON DO
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-7694
KEVIN C. STAUDINGER M.D.
Preventive Medicine (Occupational Medicine)
833 PRINCETON AVE SW, POB II; SUITE 150
BIRMINGHAM, AL 35211
Jefferson County (205) 781-2699
CHRISTOPHER CARLSON CRNP
Nurse Practitioner (Acute Care)
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 786-2776
DR. DANIELLE ELMORE DO
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-7694
GABRIEL TOULIATOS DO
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW, POB 3, SUITE 200E
BIRMINGHAM, AL 35211
Jefferson County (205) 599-4823
LAUREN BEATTY LONG
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 599-4822

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 Dustin Wallace's NPI number?

The NPI number for Dustin Wallace is 1275906158. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Dustin Wallace located?

Dustin Wallace practices at 833 Princeton Ave SW Pob Iii; Suite 200A, Birmingham, AL 35211. The listed phone number is (205) 786-2776.

What is Dustin Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Dustin Wallace was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.