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

Michelle Wallace

Individual provider Personal Care Attendant · NPI 1770051252

Michelle Wallace is a Personal Care Attendant in Fort Gibson, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1515 Sumac Rd
Fort Gibson, OK 74434-7512
Phone: (918) 616-5408
Show map & directions

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

Specialties & licences

Personal Care Attendant (primary) Taxonomy 3747P1801X

Record details

NPI number1770051252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2018
Last updated in NPPESNovember 2, 2018
Mailing address1515 Sumac Rd, Fort Gibson, OK 74434-7512

Other providers in Fort Gibson