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

Miss. Carrie Leigh Wallace, FNP

Individual provider Family Nurse Practitioner · NPI 1265648596

Miss. Carrie Leigh Wallace, FNP is a Family Nurse Practitioner in Orange, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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

455 S Main St
Orange, CA 92868-3835
Phone: (714) 289-4934
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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 13730 (CA)

Record details

NPI number1265648596
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedMay 15, 2007
Last updated in NPPESJuly 8, 2007

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