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

Mr. William S Wallace, FNP

Individual provider Registered Nurse · NPI 1457334633

Mr. William S Wallace, FNP is a Registered Nurse in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2005.

Licensed in
TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1200 Peabody Ave
Memphis, TN 38104-4506
Phone: (901) 272-0003
Fax: (901) 272-7179
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 RN108204 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 108204 (TN)

Record details

NPI number1457334633
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESMarch 5, 2010

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