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

Mrs. Catherine Wallace

Individual provider Registered Dietitian · NPI 1477244077

Mrs. Catherine Wallace is a Registered Dietitian in Jacksonville Beach, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

1320 Roberts Dr
Jacksonville Beach, FL 32250-3253
Phone: (904) 477-9882
Show map & directions

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence ND4727 (FL)

Record details

NPI number1477244077
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address709 4th Ave N, Jacksonville Beach, FL 32250-4527

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