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

Stacy Wallace, NP

Individual provider Pediatric Nurse Practitioner · NPI 1205843422

Stacy Wallace, NP is a Pediatric Nurse Practitioner in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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

1702 N Alamo St Ste 220
San Antonio, TX 78215-1201
Phone: (210) 224-1823
Fax: (210) 224-7011
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 624860 (TX)

Record details

NPI number1205843422
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESJanuary 27, 2010

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