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

Amanda Gail Wallace

Individual provider Family Nurse Practitioner · NPI 1154844041

Amanda Gail Wallace is a Family Nurse Practitioner in West Union, Ohio. Licensed in Kentucky and Ohio. Registered with an NPI since 2017.

Licensed in
KY, OH
In the registry since
2017
Specialties on file
4

Practice location Address checks out

247 Cic Blvd
West Union, OH 45693-7512
Phone: (513) 941-4999
Fax: (513) 694-0168
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.021126 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3011658 (KY)
Registered Nurse Taxonomy 163W00000X · Licence RN.300987 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 1155351 (KY)

Record details

NPI number1154844041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 21, 2017
Last updated in NPPESMay 5, 2023
Certification dateMay 5, 2023
Mailing address6460 Harrison Ave Ste 200, Cincinnati, OH 45247-7958

Other providers in West Union