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

Mrs. Jill Marie Wallace, NP

Individual provider Family Nurse Practitioner · NPI 1598121220

Mrs. Jill Marie Wallace, NP is a Family Nurse Practitioner in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina and South Carolina.

Licensed in
NC, SC
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

16406 Birchley Cir
Charlotte, NC 28213-4314
Phone: (704) 258-4240
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19659 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5008608 (NC)

Record details

NPI number1598121220
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 11, 2016
Last updated in NPPESSeptember 2, 2016

Other providers in Charlotte