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

Heather E Wallace

Individual provider Gerontology Nurse Practitioner · NPI 1053856427

Heather E Wallace is a Gerontology Nurse Practitioner in Macon, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
2

Practice location Address checks out

535 Coliseum Dr
Macon, GA 31217-0104
Phone: (478) 972-0277
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence RN197918 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN197918 (GA)

Record details

NPI number1053856427
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2016
Last updated in NPPESDecember 27, 2016
Mailing addressPo Box 26698, Macon, GA 31221-6698

Other providers in Macon