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

Eveline S. Wallace, ARNP

Individual provider Adult Health Nurse Practitioner · NPI 1427058932

Eveline S. Wallace, ARNP is a Nurse Practitioner in Orlando, Florida. Qualified in 2001, 25 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2005
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

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Practice location Address checks out

2415 N Orange Ave Ste # 700
Orlando, FL 32804-5505
Phone: (407) 303-7171
Fax: (407) 303-7195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 888 Swift Blvd, Richland, WA 99352-3514 — (509) 946-4611

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 1728202 (FL)

Record details

NPI number1427058932
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJuly 26, 2005
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing address2415 N Orange Ave, Suite # 700, Orlando, FL 32804-5505

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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