SHEREECE WALLACE, DNP, AGPCNP-BC

Nurse Practitioner

Active Individual
NPI: 1104338318

Practice Address

1 MEMORIAL DR
Alton, IL 62002

Phone: (618) 463-7240

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X No 2017038282 (MO)
Nurse Practitioner 363L00000X Yes 209017027 (IL)

Frequently Asked Questions

NPI 1104338318 is the National Provider Identifier for SHEREECE WALLACE, DNP, AGPCNP-BC, a Nurse Practitioner provider located in Alton, IL. This NPI was enumerated on October 27, 2017.
SHEREECE WALLACE, DNP, AGPCNP-BC practices at 1 MEMORIAL DR, Alton, IL 62002.

Quick Facts

NPI
1104338318
Type
Individual
Enumerated
Oct 27, 2017
Last Updated
Sep 25, 2025

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