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

Bernice E Wallace

Individual provider Pediatric Nurse Practitioner · NPI 1679887707

Bernice E Wallace is a Pediatric Nurse Practitioner in Plantation, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010

Practice location Address checks out

4101 NW 4th St Ste 200
Plantation, FL 33317-2850
Phone: (954) 791-5420
Fax: (954) 791-5950
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence ARNP1772012 (FL)

Record details

NPI number1679887707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 30, 2010
Last updated in NPPESFebruary 16, 2012
Mailing address4101 Nw 4th St, Suite 200, Plantation, FL 33317-2850

Other providers in Plantation