Individual provider · Type 1 NPI

Alexis Rochelle Wallace, BSN, RN

Student in an Organized Health Care Education/Training Program · Charleston, SC

NPI number 1073448171 Active

Practice location

4205 Marilyn Dr
Charleston, SC 29418-5846

Call (854) 276-0252 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073448171

Alexis Rochelle Wallace, BSN, RN's National Provider Identifier is 1073448171, issued on Jun 17, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Charleston, SC. The record was last updated on Jun 17, 2026.