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

MS. Pamela Yvonne Wallace, REGISTERNURSE

Individual provider Registered Nurse · NPI 1396359022

MS. Pamela Yvonne Wallace, REGISTERNURSE is a Registered Nurse in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020

Practice location Address checks out

5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265
Phone: (314) 367-5820
Fax: (314) 367-7010
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 2017028448 (MO)

Record details

NPI number1396359022
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTERNURSE
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

Other providers in Saint Louis