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

Susan Jean Wallace

Individual provider Registered Nurse · NPI 1194985887

Susan Jean Wallace is a Registered Nurse in Pine Ridge, South Dakota. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2008

Practice location Address checks out

E Hwy 18
Pine Ridge, SD 57770-1201
Phone: (605) 867-5131
Fax: (605) 867-3263
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 26784 (NE)

Record details

NPI number1194985887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2008
Last updated in NPPESJune 16, 2008
Mailing addressE Hwy 18, Pine Ridge, SD 57770-1201

Other providers in Pine Ridge