Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Island Life Personalized Medicine

Organization Family Nurse Practitioner · NPI 1730900648

Island Life Personalized Medicine provides Family Nurse Practitioner services in Gulf Shores, Alabama. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

3817 Gulf Shores Pkwy Ste 9
Gulf Shores, AL 36542-2781
Phone: (251) 842-4287
Fax: (251) 235-8232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1730900648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maggie Wallace — Nurse Practitioner · (251) 842-4287
NPI enumeratedOctober 23, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address3817 Gulf Shores Pkwy Ste 9, Gulf Shores, AL 36542-2781

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