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

Mrs. Stephanie Wallace, FNP-BC, FNP-C

Individual provider Family Nurse Practitioner · NPI 1811715493

Mrs. Stephanie Wallace, FNP-BC, FNP-C is a Nurse Practitioner in Slidell, Louisiana. Qualified in 2024, 2 years ago. Practices with Calcasieu Urgent Care LLC, a 135-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
2
Licensed in
LA
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1290 7th St Ste 8
Slidell, LA 70458-2042
Phone: (985) 251-2562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 237784 (LA)

Record details

NPI number1811715493
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , FNP-C
Sole proprietorYes
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Calcasieu Urgent Care Llc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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