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

Samantha Grace Wallace

Individual provider Registered Nurse · NPI 1417815838

Samantha Grace Wallace is a Registered Nurse in Birmingham, Alabama. Licensed in Alabama. Registered with an NPI since 2026.

Licensed in
AL
In the registry since
2026

Practice location Address checks out

1701 University Blvd
Birmingham, AL 35233-1815
Phone: (205) 934-5428
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 1-181755 (AL)

Record details

NPI number1417815838
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address4688 Sandpiper Ln, Hoover, AL 35244-3301

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