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

Stephanie P Wallace, APRN

Individual provider Nurse Practitioner · NPI 1730419599

Stephanie P Wallace, APRN is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2009, 17 years ago. Practices with Psf PLLC, a 99-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
17
Licensed in
KY
In the registry since
2009
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

9800 Shelbyville Rd Ste #220
Louisville, KY 40223-2992
Phone: (502) 429-8585
Fax: (502) 429-6157
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3006327 (KY)

Record details

NPI number1730419599
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 30, 2009
Last updated in NPPESApril 25, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Psf Pllc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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