JOSEPH JELKS WALLACE
NPI 1891275095
Nurse Practitioner - Family in Punta Gorda, FL

Q: What is Joseph Wallace's NPI number?

The NPI number for Joseph Wallace is 1891275095. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Q: What is Joseph Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Wallace was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since August 16, 2018

23361 FERNDALE AVE, PUNTA GORDA, FL 33980(239) 281-8121 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Joseph Jelks Wallace NPPES

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

JOSEPH JELKS WALLACE (NPI 1891275095) is an individual family provider in Punta Gorda, Florida, licensed in Florida (866612) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1891275095

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOSEPH JELKS WALLACE

Location Address23361 FERNDALE AVEPunta Gorda, FL 33980-4814

Mailing Address23361 Ferndale AvePunta Gorda, FL 33980-4814 · (239) 281-8121

Phone(239) 281-8121

Sole ProprietorNo

Enumeration DateAugust 16, 2018

✔ NPI 1891275095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 866612

23361 FERNDALE AVE, Punta Gorda, FL 33980

Open in Google Maps ↗

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 Joseph Wallace's NPI number?

The NPI number for Joseph Wallace is 1891275095. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Joseph Wallace located?

Joseph Wallace practices at 23361 Ferndale Ave, Punta Gorda, FL 33980. The listed phone number is (239) 281-8121.

What is Joseph Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Joseph Wallace was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.