Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shannon L Wallace, FNP-BC, PMHNP-BC

Individual provider Family Nurse Practitioner · NPI 1851481584

Shannon L Wallace, FNP-BC, PMHNP-BC is a Family Nurse Practitioner in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1481 W 10th St
Indianapolis, IN 46202-2803
Phone: (317) 554-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71001501 (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71001501 (IN)

Record details

NPI number1851481584
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022

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