NICHOLE WALLACE
NPI 1407546229
Social Worker - Clinical in Grand Rapids, MI
About Nichole Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE WALLACE (NPI 1407546229) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6851116253) and active in the NPI registry since May 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49504
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 Nichole Wallace's NPI number?
The NPI number for Nichole Wallace is 1407546229. It was assigned to this individual provider in the NPPES registry on May 15, 2023.
Where is Nichole Wallace located?
Nichole Wallace practices at 678 Front Ave NW Ste 100, Grand Rapids, MI 49504. The listed phone number is (616) 916-3711.
What is Nichole Wallace's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
When was this NPI record last updated?
The NPPES record for Nichole Wallace was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.