SearchIllinoisNurse Practitioner

Shereece Wallace, DNP, AGPCNP-BC

NPI 1104338318 · on the registry since 2017

Practice

Address
1 Memorial Dr
Alton, IL 62002
Phone
(618) 463-7240
Organisation at this address
Lifenet, Inc.
Intensivo Llc
Scott J Arbaugh Md
Alton Memorial Hospital
Alton Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Additional practice sites

  • 4500 Memorial Dr, Belleville, IL
  • 11155 Dunn Rd Ste 109n, Saint Louis, MO
  • 2122 Troy Rd Ste 130, Edwardsville, IL
  • 11133 Dunn Rd, Saint Louis, MO

Registry record

Primary taxonomy
Nurse Practitioner
363L00000X
Also registered as
Adult Health Nurse Practitioner
Adult Health Nurse Practitioner
Licence states on file
IL, MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois