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

Caroline Wallace

Individual provider Adult Health Nurse Practitioner · NPI 1962078295

Caroline Wallace is a Nurse Practitioner in Concord, North Carolina. Qualified in 2021, 5 years ago. Practices with Lower Cape Fear Hospice Incorporated, a 26-clinician group. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021

Practice location Address checks out

101 Cabarrus Ave E
Concord, NC 28025-3699
Phone: (888) 849-7379
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 5014470 (NC)

Record details

NPI number1962078295
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 27, 2021
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021
Mailing address101 Cabarrus Ave E, Concord, NC 28025-3699

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lower Cape Fear Hospice Incorporated — 26 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Concord