MRS. KIMBERLY WALLACE (RN) – General Practice Registered Nurse, NPI 1104534395

MRS. KIMBERLY WALLACE (RN) is a healthcare provider. based in Owens cross roads, Alabama. specializing in General Practice Registered Nurse. They hold the professional credentials RN. They hold a License No. 1-069756 (AL). The NPI Number for MRS. KIMBERLY WALLACE (RN) is 1104534395

Main info

Female
Name
MRS. KIMBERLY WALLACE (RN)
NPI
1104534395
Phone
(256) 679-3281
Address
3118 MALLARD POINT DR SE
Enumeration Date
7 November 2022
Last Update Date
7 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

Provider Addresses for MRS. KIMBERLY WALLACE (RN)

  • 3118 MALLARD POINT DR SE

    OWENS CROSS ROADS, AL 357638497

    Phone: (256) 679-3281

    Type: Mailing

  • 204 LOWE AVE SE STE 2

    HUNTSVILLE, AL 358014242

    Phone: (256) 534-7235

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35763)

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Reviews

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Frequently asked questions

Is MRS. KIMBERLY WALLACE (RN) listed with a National Provider Identifier?
Yes — MRS. KIMBERLY WALLACE (RN) has NPI 1104534395 on file in the registry.
Is MRS. KIMBERLY WALLACE (RN) still an active registrant?
MRS. KIMBERLY WALLACE (RN) carries an active NPI according to the public dataset.
How would a patient describe MRS. KIMBERLY WALLACE (RN)'s focus?
For MRS. KIMBERLY WALLACE (RN), the primary taxonomy reads as General Practice Registered Nurse. Clinical services aligned with this taxonomy classification.
Is MRS. KIMBERLY WALLACE (RN) located near Owens Cross Roads?
MRS. KIMBERLY WALLACE (RN) currently maps to Owens Cross Roads, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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