Individual provider · Type 1 NPI
Racquel Wallace, APRN
Nurse Practitioner · Orlando, FL
Practice location
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | ARNP9358634 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1366977944
Racquel Wallace, APRN's National Provider Identifier is 1366977944, issued on Apr 20, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orlando, FL. The record was last updated on Oct 18, 2025.