Individual
MRS. ANSLEIGH MORROW WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2145 HENRY TECKLENBURG DR STE 220, CHARLESTON, SC 29414-5894
(843) 723-8823
(843) 606-8059
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
21253
SC
363LF0000X
Family Nurse Practitioner
Primary
21253
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5186
—
SC
Enumeration date
08/17/2017
Last updated
03/27/2026
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