Cherry Wallace, FNP
Gerontology Nurse Practitioner · Saint Louis, MO
Practice location
425 N New Ballas Rd Ste 203Saint Louis, MO 63141-6848
- Phone
- (314) 872-3104
NPI record
- NPI
- 1013886456
- Entity type
- Individual (Type 1)
- Enumeration date
- November 3, 2025
- Last updated
- August 19, 2026
- Certified
- August 19, 2026
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X |
2025047590 | MO |
Mailing address
905 Chestnut Ridge RdManchester, MO 63021-6925
- Phone
- (314) 536-1897
- Fax
- (314) 536-1897
Other practice locations (2)
- 3009 N Ballas Rd Ste 100B, Saint Louis, MO 63131-2322 · (314) 432-1111
- 1400 LeMay Ferry Rd, Saint Louis, MO 63125-2408 · (314) 685-8721
About Cherry Wallace
Cherry Wallace, FNP is a healthcare provider registered in the NPI registry with the primary taxonomy Gerontology Nurse Practitioner (code 363LG0600X). The practice location is 425 N New Ballas Rd Ste 203, Saint Louis, MO 63141-6848. The NPI number 1013886456 was assigned on November 3, 2025 and the record was last updated on August 19, 2026.
Cherry Wallace lists a license in the registry: #2025047590 (MO) for Gerontology Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Cherry Wallace, FNP?
The NPI number is 1013886456.
What is the phone number of Cherry Wallace?
The phone number listed for the practice location is (314) 872-3104.
Where is Cherry Wallace located?
425 N New Ballas Rd Ste 203, Saint Louis, MO 63141-6848.
What is the taxonomy code for Cherry Wallace?
The primary taxonomy code is 363LG0600X – Gerontology Nurse Practitioner.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Gerontology Nurse Practitioner providers in Saint Louis
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- Molly Marie Hulsen, ACNP3015 N Ballas Rd
- Kimberly Marie Boyer Hunt, FNP, AGACNP1 Barnes Jewish Hospital PLZ
- Carol C. Gwin, AGNP1 Barnes Jewish Hospital PLZ
- David Bryant Kiliman, ACNP1 Barnes Jewish Hospital PLZ
- Kristi A. Arnolds, AGNP1 Barnes Jewish Hospital PLZ
- Christine Frances Kuehnel, ACNP11155 Dunn Rd
- Lingxiao Lu, PMHNP615 S New Ballas Rd
- Gina Renee Hart, AGNP1 Barnes Jewish Hospital PLZ
- Jennifer Anne Koeb, ACNP1 Barnes Jewish Hospital PLZ
- Joan Louise Friedman, AGNP615 S New Ballas Rd
- Gloria A. Rodriguez, AGNP11155 Dunn Rd Ste 109n
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