Individual Healthcare Provider
Deborah Wallace, FNP-C
Provider's NPPES record last updated: November 27, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1215387832
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Manalapan, New Jersey
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 10:43 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 26NJ00646700
Practice Locations
Practice Location
20 Kilmer Dr
Manalapan, New Jersey 07726-3709
Phone: (229) 596-7531
Additional Practice Location
51 Market St
South Portland, Maine 04106-3617
Phone: (877) 993-4321
Additional Practice Location
67d Main St
Medway, Massachusetts 02053-1831
Phone: (877) 993-4321
Additional Practice Location
1545 Pulaski Hwy
Bear, Delaware 19701-1303
Phone: (877) 993-4321
Additional Practice Location
4 Hall St
Concord, New Hampshire 03301-3414
Phone: (877) 993-4321
Additional Practice Location
845 Bladensburg Rd Ne
Washington, District of Columbia 20002-3927
Phone: (877) 993-4321
Additional Practice Location
4961 Roberts Rd
Hilliard, Ohio 43026-8129
Phone: (877) 993-4321
Additional Practice Location
11729 Roe Ave
Leawood, Kansas 66211-2605
Phone: (877) 993-4321
Additional Practice Location
2311 Lime Kiln Ln
Louisville, Kentucky 40222-3460
Phone: (877) 993-4321
Record Information
- Enumeration Date
- June 14, 2016
- Provider's NPPES Record Last Updated
- November 27, 2023
- Certification Date
- November 27, 2023
- NPISignal NPPES Dataset
- August 2026
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