Individual provider · Type 1 NPI

Shannon Wallace, FNP-C

Family Nurse Practitioner · Buffalo, MO

NPI number 1992699326 Active

Practice location

201 S Ash St
Buffalo, MO 65622-8674

Mailing address

21350 County Road 401
Urbana, MO 65767-8576

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2025020699 (MO)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

Other family nurse practitioner providers in Buffalo

See all in Buffalo →

About NPI 1992699326

Shannon Wallace, FNP-C's National Provider Identifier is 1992699326, issued on Jun 9, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Buffalo, MO. The record was last updated on Jun 9, 2025.