Individual provider · Type 1 NPI

Sharon D. Wallace

Psychiatric/Mental Health Nurse Practitioner · Lacey, WA

NPI number 1205478591 Active

Practice location

673 Woodland Square Loop SE Ste 320
Lacey, WA 98503-1066

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP61462632 (WA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1205478591

Sharon D. Wallace's National Provider Identifier is 1205478591, issued on Oct 8, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lacey, WA. The record was last updated on Mar 19, 2026.