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

Carla Dennise Wallace, A-GNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1164122149

Carla Dennise Wallace, A-GNP-C is a Gerontology Nurse Practitioner in Pearland, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2023

Practice location Address checks out

2421 Copper Sky Dr
Pearland, TX 77584-3782
Phone: (409) 350-0016
Fax: (877) 673-2947
Show map & directions

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

Additional practice locations (1)

  • 3129 Kingsley Dr Ste 1940, Pearland, TX 77584-8511 — (346) 502-2837

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1095104 (TX)

Record details

NPI number1164122149
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP-C
Sole proprietorYes
NPI enumeratedMarch 7, 2023
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

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