Individual provider · Type 1 NPI

Brianna M. Wallace, PA-C

Physician Assistant · Cherry Hill, NJ

NPI number 1184486235 Active

Practice location

1945 Route 70 E Ste D
Cherry Hill, NJ 08003-2160

Fax (856) 237-8047

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

Other practice locations

  • 1132 Cooper St, Deptford, NJ 08096-3014 · (856) 848-8060
  • 4755 Ogletown Stanton Road, Suite 5A43, Newark, DE 19718-2200 · (302) 623-0188

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC5-0012199 (DE)
Physician Assistant 363A00000XC0009759 (MD)
Physician Assistant Primary 363A00000X25MP00835000 (NJ)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

11 other providers at this address

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About NPI 1184486235

Brianna M. Wallace, PA-C's National Provider Identifier is 1184486235, issued on Jan 24, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cherry Hill, NJ. The record was last updated on May 8, 2026.