MR. CORY WALLACE, RN, BSN
Nurse Practitioner
Active
Individual
NPI: 1255066411
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 26NJ15461200 (NJ) |
| Registered Nurse - General Practice | 163WG0000X | No | 26NR20435100 (NJ) |
Frequently Asked Questions
NPI 1255066411 is the National Provider Identifier for MR. CORY WALLACE, RN, BSN, a Nurse Practitioner provider located in Somerset, NJ. This NPI was enumerated on July 21, 2022.
MR. CORY WALLACE, RN, BSN practices at 30 ULYSSES RD, Somerset, NJ 08873.
Quick Facts
- NPI
- 1255066411
- Type
- Individual
- Enumerated
- Jul 21, 2022
- Last Updated
- Feb 1, 2026
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