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

Keesha Michelle Wallace, RN, BSN

Individual provider Registered Nurse · NPI 1750828588

Keesha Michelle Wallace, RN, BSN is a Registered Nurse in Canton, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

982 Princess Dr
Canton, MI 48188-1147
Phone: (734) 620-2584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704311979 (MI)

Record details

NPI number1750828588
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN
Sole proprietorYes
NPI enumeratedJanuary 31, 2017
Last updated in NPPESJanuary 31, 2017
Mailing address982 Princess Dr, Canton, MI 48188-1147

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