Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Jean Wallace

Individual provider Registered Nurse · NPI 1194985887

Susan Jean Wallace is a Registered Nurse in Pine Ridge, South Dakota. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2008

Practice location Address checks out

E Hwy 18
Pine Ridge, SD 57770-1201
Phone: (605) 867-5131
Fax: (605) 867-3263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 26784 (NE)

Record details

NPI number1194985887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 16, 2008
Last updated in NPPESJune 16, 2008

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