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

Heather Elizabeth Gordon Wallace, FNP

Individual provider Family Nurse Practitioner · NPI 1962993634

Heather Elizabeth Gordon Wallace, FNP is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2017, 9 years ago. Practices with Roper Saint Francis Physicians Network, a 532-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Carolina.

Years since qualifying
9
Licensed in
SC
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1879 Savage Rd
Charleston, SC 29407-4726
Phone: (843) 763-9472
Fax: (843) 763-7411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 21745 (SC)

Record details

NPI number1962993634
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMay 29, 2018
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Roper Saint Francis Physicians Network — 532 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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