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Active NPI 1679887707 Individual Practitioner Female Practitioner

Bernice E Wallace

Nurse Practitioner - Pediatrics • Plantation, FL

Professional Overview & Biography Verified Profile Summary

Bernice Wallace is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Plantation, FL. Practice services are available at 4101 NW 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4101 Nw 4th St
Suite 200

Plantation, FL 333172850

Telephone 9547915420
Fax 9547915950
Associated Practice Facility / Clinic
🏢 Travel Medicine And Infections Inc Facility NPI 1982641486

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Plantation, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
32 Specialists

Practicing in Plantation, FL (1565 Statewide)

Telehealth Adoption Rate
3.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License FL ARNP1772012

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
302604300 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1093936668

Doctor of Medicine (M.D.)

Jessica Saint Clair , CNM

Advanced Practice Midwife

NPI 1386141414

Certified Nurse Midwife

Christine Chen

Pediatrics

NPI 1720258676
Claudine Mckenzie , ARNP

Nurse Practitioner - Primary Care

NPI 1750779682

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 16, 2012

Registered at 4101 NW 4TH ST, SUITE 200, PLANTATION, FL 333172850 (Tel: 9547915420)

📍
Updated Business Mailing Address February 16, 2012

Registered at 4101 NW 4TH ST, SUITE 200, PLANTATION, FL 333172850 (Tel: 9547915420)

👤
Provider Name / Credentials Updated February 16, 2012

Recorded as BERNICE WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2012

Nurse Practitioner (License #ARNP1772012 in FL)

🟢
Initial NPI Registration & Enumeration July 30, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679887707
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2010
Last Update: February 16, 2012
Sole Proprietor: No
Update or Correct Profile

Mailing Address

4101 Nw 4th St, Suite 200

Plantation, FL 333172850

Phone: 9547915420

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.