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MRS. ELLEE L WALLACE PA-C
NPI 1336334853
Physician Assistant in Winston-salem, NC

Active since September 07, 2007
2025 FRONTIS PLAZA BLVD., SUITE 120 FORSYTH COMPREHENSIVE NEUROLOGY, WINSTON-SALEM, NC 27103(336) 277-2200(336) 277-2210 Get Directions Write a Review

NPPES record last updated: September 7, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Ellee L Wallace Pa-c NPPES

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

MRS. ELLEE L WALLACE PA-C (NPI 1336334853) is an individual physician assistant in Winston-salem, North Carolina and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1336334853
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ELLEE L WALLACECredential: PA-C
Location Address2025 FRONTIS PLAZA BLVD., SUITE 120 FORSYTH COMPREHENSIVE NEUROLOGYWinston-salem, NC 27103
Mailing Address2025 Frontis Plaza Blvd., Suite 120 Forsyth Comprehensive NeurologyWinston-salem, NC 27103 · (336) 277-2200 · Fax (336) 277-2210
Phone(336) 277-2200
Fax(336) 277-2210
Sole ProprietorNo
Enumeration DateSeptember 7, 2007
✔ NPI 1336334853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2025 FRONTIS PLAZA BLVD., Winston-salem, NC 27103
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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 Ellee Wallace's NPI number?

The NPI number for Ellee Wallace is 1336334853. It was assigned to this individual provider in the NPPES registry on September 7, 2007.

Where is Ellee Wallace located?

Ellee Wallace practices at 2025 Frontis Plaza Blvd. Suite 120 Forsyth Comprehensive Neurology, Winston-Salem, NC 27103. The listed phone number is (336) 277-2200.

What is Ellee Wallace's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ellee Wallace was last updated on September 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.