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

Leigh A Wallace

Individual provider Registered Nurse · NPI 1902496136

Leigh A Wallace is a Nurse Practitioner in Florence, Alabama. Qualified in 2022, 4 years ago. Practices with Shoals Primary Care, LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

170 County Road 360
Florence, AL 35634-5252
Phone: (256) 335-5773
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-100834 (AL)
Registered Nurse Taxonomy 163W00000X · Licence 1-100834 (AL)

Record details

NPI number1902496136
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023
Mailing address170 County Road 360, Florence, AL 35634-5252

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Shoals Primary Care, Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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