Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Denise Wallace, NP

Individual provider Family Nurse Practitioner · NPI 1275104796

Amanda Denise Wallace, NP is a Family Nurse Practitioner in Brandon, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2021
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

214 Morrison Rd Ste 104
Brandon, FL 33511-4849
Phone: (813) 681-6474
Fax: (813) 654-8473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2590 Healing Way Ste 310, Wesley Chapel, FL 33543-5497 — (813) 333-1186

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11013133 (FL)

Record details

NPI number1275104796
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 6, 2021
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

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