Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Joseph Jelks Wallace

Family Nurse Practitioner in Punta Gorda, FL · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891275095

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Registry record

Entity type Individual (Type 1)

Name Joseph Jelks Wallace

Sex Male

Practice address 23361 Ferndale Ave, Punta Gorda, FL, 33980

Phone (239) 281-8121

Enumeration date Aug 16, 2018

Last updated in NPPES Aug 16, 2018

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 866612 (FL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Joseph Wallace?

Joseph Wallace is registered in NPPES with the primary taxonomy of Family Nurse Practitioner. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-08-16.