Individual provider · Type 1 NPI
Lisa Marie Wallace, NP
Adult Health Nurse Practitioner · Muncie, IN
NPI number
1134438286
Active
Practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice locations
- 831 N Theatre Drive, Marion, IN 46952-1701 · (765) 660-7800
- 2525 W University Ave Ste 300, Muncie, IN 47303-3432 · (765) 289-5420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71003281A (IN) |
| Nurse Practitioner | 363L00000X | 71003281A (IN) |
| Oncology Clinical Nurse Specialist | 364SX0200X | 71003281A (IN) |
Adult Health Nurse Practitioner: Definition to come...
360 other providers at this address
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- Emergency Physicians of Delaware County, P.c.Emergency Medicine Physician Muncie, IN NPI 1417956384
- Emgi-Ball, LLCEmergency Medicine Physician Muncie, IN NPI 1306072434
- Health Care Connections, Inc.Diagnostic Radiology Physician Muncie, IN NPI 1013191493
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- Jennifer Marie Bow, NPAdult Health Nurse Practitioner Muncie, IN NPI 1144451014
- Christina F. Daniels, NPAdult Health Nurse Practitioner Muncie, IN NPI 1174935068
- Tonee A. Pieroni, NPAdult Health Nurse Practitioner Muncie, IN NPI 1184645541
- Preswinda Cornejo Freeman, NURSE PRACTITIONERAdult Health Nurse Practitioner Muncie, IN NPI 1235228917
- Lance Keith Ottinger, ANPAdult Health Nurse Practitioner Muncie, IN NPI 1306898747
About NPI 1134438286
Lisa Marie Wallace, NP's National Provider Identifier is 1134438286, issued on Oct 6, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Muncie, IN. The record was last updated on Oct 16, 2025.