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

Lisa M. Wallace, FNP

Individual provider Family Nurse Practitioner · NPI 1235637182

Lisa M. Wallace, FNP is a Nurse Practitioner in Florence, South Carolina. Qualified in 2017, 9 years ago. Practices with McLeod Physician Associates II, a 542-clinician group and accepts Medicare assignment. 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

800 E Cheves St Ste 200
Florence, SC 29506-2651
Phone: (843) 662-1502
Fax: (843) 678-3611
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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 21595 (SC)

Record details

NPI number1235637182
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 25, 2018
Last updated in NPPESFebruary 24, 2021
Certification dateFebruary 24, 2021
Mailing addressPo Box 3239, Florence, SC 29502-3239

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 McLeod Physician Associates Ii — 542 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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