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

Mr. Wallace Dale Fox Jr., APRN

Individual provider Family Nurse Practitioner · NPI 1043731615

Mr. Wallace Dale Fox Jr., APRN is a Nurse Practitioner in Clarksville, Indiana. Qualified in 2022, 4 years ago. Practices with Vitalskin Medical Group Il PLLC, a 56-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2017
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1400 Main St Unit 177
Clarksville, IN 47129-3108
Phone: (812) 946-2674
Fax: (844) 832-9625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71007238A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71007238A (IN)

Record details

NPI number1043731615
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedJuly 4, 2017
Last updated in NPPESDecember 19, 2023
Certification dateDecember 19, 2023

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 Vitalskin Medical Group Il Pllc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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