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

Chantel Briana Wallace, LPN

Individual provider Licensed Practical Nurse · NPI 1750255394

Chantel Briana Wallace, LPN is a Licensed Practical Nurse in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

1339 Washington Ave
Bay Shore, NY 11706-5742
Phone: (631) 356-8488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 354567 (NY)

Record details

NPI number1750255394
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedOctober 4, 2025
Last updated in NPPESOctober 4, 2025
Certification dateOctober 4, 2025

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