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

Taylor K Wallace, CNA

Individual provider Nurse's Aide · NPI 1174133052

Taylor K Wallace, CNA is a Nurse's Aide in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020

Practice location Address checks out

13525 Bartram Park Blvd Unit 1538
Jacksonville, FL 32258-5271
Phone: (816) 832-6319
Show map & directions

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

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 386143 (FL)

Record details

NPI number1174133052
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorYes
NPI enumeratedAugust 5, 2020
Last updated in NPPESAugust 5, 2020
Certification dateAugust 5, 2020
Mailing address13525 Bartram Park Blvd Unit 1538, Jacksonville, FL 32258-5271

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