STEPHANIE WALLACE KLADIANOS NP
NPI 1508293325
Nurse Practitioner in Jackson, WY

Q: What is Stephanie Kladianos's NPI number?

The NPI number for Stephanie Kladianos is 1508293325. It was assigned to this individual provider in the NPPES registry on October 11, 2013. The provider is also known as Stephanie Wallace.

Q: What is Stephanie Kladianos's specialty?

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

Active since October 11, 2013

625 E BROADWAY AVE, JACKSON, WY 83001(307) 739-6112 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2025, Dec 11, 2025 (2 updates tracked since 2025).

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About Stephanie Wallace Kladianos Np NPPES

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

STEPHANIE WALLACE KLADIANOS NP (NPI 1508293325) is an individual nurse practitioner in Jackson, Wyoming, licensed in Wyoming (51842) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1508293325

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTEPHANIE WALLACE KLADIANOSCredential: NP

Location Address625 E BROADWAY AVEJackson, WY 83001-8642

Mailing Address625 E Broadway AveJackson, WY 83001-8642 · (307) 739-6112

Phone(307) 739-6112

Sole ProprietorYes

Enumeration DateOctober 11, 2013

Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1508293325 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 WY · 51842

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.

625 E BROADWAY AVE, Jackson, WY 83001

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Other Names 1

Former Name (1)Stephanie Wallace

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.

SHAWN BRICE WRIGHT CRNA

Nurse Anesthetist, Certified Registered