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

Dr. Stephanie D Wallace, DNP/FNP

Individual provider Family Nurse Practitioner · NPI 1336999408

Dr. Stephanie D Wallace, DNP/FNP is a Nurse Practitioner in Chico, California. Qualified in 2023, 3 years ago. Practices with Enloe Medical Center, a 331-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024

Practice location Address checks out

1531 Esplanade
Chico, CA 95926-3310
Phone: (530) 370-3014
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 95029492 (CA)

Record details

NPI number1336999408
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP/FNP
Sole proprietorNo
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateFebruary 11, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Enloe Medical Center — 331 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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