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

Staci L Wall, NP

Individual provider Registered Nurse · NPI 1629068291

Staci L Wall, NP is a Registered Nurse in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2005.

Licensed in
IN
In the registry since
2005
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

7988 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone: (260) 432-4400
Fax: (260) 969-6898
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71003769 (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28086186 (IN)

Record details

NPI number1629068291
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESJanuary 31, 2018
Mailing address2518 E Dupont Rd, Fort Wayne, IN 46825-1675

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