Shereece Nichole Wallace, DNP, AGPCNP-BC
Nurse Practitioner · Alton, IL
Practice location
1 Memorial DrAlton, IL 62002-6722
- Phone
- (618) 463-7240
NPI record
- NPI
- 1104338318
- Entity type
- Individual (Type 1)
- Enumeration date
- October 27, 2017
- Last updated
- September 25, 2025
- Certified
- September 25, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X |
209017027 | IL |
| Adult Health Nurse Practitioner | 363LA2200X |
209017027 | IL |
| Adult Health Nurse Practitioner | 363LA2200X |
2017038282 | MO |
Mailing address
660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512
- Phone
- (314) 448-3791
- Fax
- (636) 996-7658
Other practice locations (4)
- 4500 Memorial Dr, Belleville, IL 62226-5360 · (618) 257-6220
- 11155 Dunn Rd Ste 109N, Saint Louis, MO 63136-6148 · (314) 953-8799
- 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 · (618) 800-4500
- 11133 Dunn Rd, Saint Louis, MO 63136-6163 · (314) 653-5000
About Dr. Wallace
Shereece Nichole Wallace, DNP, AGPCNP-BC is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1 Memorial Dr, Alton, IL 62002-6722. The NPI number 1104338318 was assigned on October 27, 2017 and the record was last updated on September 25, 2025.
Dr. Wallace lists 3 licenses in the registry: #209017027 (IL) for Nurse Practitioner; #209017027 (IL) for Adult Health Nurse Practitioner; #2017038282 (MO) for Adult Health 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 Shereece Nichole Wallace, DNP, AGPCNP-BC?
The NPI number is 1104338318.
What is the phone number of Dr. Wallace?
The phone number listed for the practice location is (618) 463-7240.
Where is Dr. Wallace located?
1 Memorial Dr, Alton, IL 62002-6722.
What is the taxonomy code for Dr. Wallace?
The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.
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 Nurse Practitioner providers in Alton
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- Jodi R. Lutz, NP1650 Washington Ave
- Karra Nance Adams, DNP1 Professional Dr Ste 220
- Emily M. Cottrell, FNP-BC4 Memorial Dr Ste 230
- Dylan Pierce1 Memorial Dr
- Sarah J. Davis, FNP2 Memorial Dr Ste 220
- Stephanie I. Smith, NP4 Memorial Dr Ste 210
- Ashley Marie Titchenal, AGNP4 Memorial Dr Ste 130
- Margaret Louise Goetten, NP4 Memorial Dr Ste 130
- Jordyn M. Hoemmen, WHNP4 Memorial Dr Ste 125
- Audrey Michelle Brennan, FNP-C4 Memorial Dr Ste 230
- Courtney Dulworth, NP2 Memorial Dr Ste 220