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

Nicole Wallace

Individual provider Case Manager/Care Coordinator · NPI 1255948337

Nicole Wallace is a Case Manager/Care Coordinator in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2020.

Licensed in
IN
In the registry since
2020
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Practice location Address checks out

70 E 91st St Ste 109
Indianapolis, IN 46240-1550
Phone: (419) 695-8010
Fax: (419) 932-6232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (IN)

Record details

NPI number1255948337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESOctober 1, 2025
Certification dateOctober 1, 2025
Mailing address10100 Elida Rd, Delphos, OH 45833-9058

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