Search › Illinois › Nurse 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 HospitalInferred 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