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

Peggy Lynn Wallace, ARNP

Individual provider Adult Health Nurse Practitioner · NPI 1285930123

Peggy Lynn Wallace, ARNP is a Nurse Practitioner in Tampa, Florida. Qualified in 2010, 16 years ago. Practices with St Joseph's Hospital, Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2011
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

4600 N Habana Ave Ste 15
Tampa, FL 33614-7112
Phone: (813) 870-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 9274861 (FL)

Record details

NPI number1285930123
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedFebruary 9, 2011
Last updated in NPPESMay 20, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St. Joseph'S Hospital, Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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