Katie Justine Wallace, FNP-BC
Katie Justine Wallace, FNP-BC is a Nurse Practitioner in Mashpee, Massachusetts. Qualified in 2014, 12 years ago. Practices with Pembroke Medical Associates Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 12
- Licensed in
- MA
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- FNP-BC — Family Nurse Practitioner, Board Certified
- A family nurse practitioner certified by the ANCC.
Practice location Address checks out
Mashpee Family Medicine 5 Industrial Dr Ste 100Mashpee, MA 02649
Phone: (508) 477-4282
Fax: (508) 539-6134
Show map & directions
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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 RN2264353 (MA) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence RN2264353 (MA) |
Record details
| NPI number | 1790151967 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | FNP-BC |
| Sole proprietor | No |
| NPI enumerated | August 11, 2015 |
| Last updated in NPPES | January 4, 2016 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Pembroke Medical Associates Inc — 26 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mashpee
-
Lisa White PMHNP LLC
133 Falmouth Rd Ste F, Mashpee, MA 02649-2611 · (857) 205-6634
-
Allegra P McElroy, RNFNP
107 Commercial St, Mashpee, MA 02649 · (508) 477-7090
-
Alyssa Mills, CNP
107 Commercial St, Mashpee, MA 02649-6507 · (508) 477-7090
-
Kimberly Small, NP
5 Industrial Dr, Mashpee, MA 02649-3464 · (508) 778-4777
-
Dianne Wells, NP
5 Industrial Dr Ste 100, Mashpee, MA 02649-3464 · (508) 477-4282