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

Mrs. Kim Marie Wallace-Schlick, FNP-C

Individual provider Family Nurse Practitioner · NPI 1972032472

Mrs. Kim Marie Wallace-Schlick, FNP-C is a Family Nurse Practitioner in Stony Brook, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

2500 Nesconset Hwy Bldg 7
Stony Brook, NY 11790-2555
Phone: (631) 331-3304
Fax: (631) 331-1932
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 342162 (NY)

Record details

NPI number1972032472
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESNovember 17, 2025
Certification dateNovember 17, 2025

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