Kendall E. Wallace, APRN
Family NP · Urbana, IL
UnclaimedAPRNNPI 1003391061
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2018-09-26
- Practice location
- Urbana, IL
- Last NPPES update
- 2024-04-04
State licenses
- IL · Nurse practitioner · ADVANCED PRACTICE REGISTERED NURSEInactivethrough 2024
- IL · Nurse practitioner · FULL PRACTICE AUTHORITY APRNActivethrough 2028
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.