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

Dustin W Wallace, CRNP

Individual provider Nurse Practitioner · NPI 1275906158

Dustin W Wallace, CRNP is a Nurse Practitioner in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2015.

Licensed in
AL
In the registry since
2015
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

833 Princeton Ave SW Pob Iii; Ste 200A
Birmingham, AL 35211-1323
Phone: (205) 786-2776
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-133041 (AL)

Record details

NPI number1275906158
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedNovember 2, 2015
Last updated in NPPESNovember 2, 2015

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