Treneice Wallace

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

9176588 Issued in FL

Practice address

7487 S State Road 121 # a
Macclenny, FL 32063-5451

Phone

(904) 330-2572

NPI assigned

Jun 10, 2025

Last updated

Jun 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1558256594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 MACADAMIA LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322181980",
            "telephone_number": "954-607-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7487 S STATE ROAD 121 # A",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320635451",
            "telephone_number": "904-330-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "TRENEICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "9176588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L Waite, RBT, EQUINE SPEC
• Melody Miller Waites, APRN, FNP-C
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1205)
• Wal-Mart Stores East, LP (Wal-Mart Vision Center 30-1205)
• Walgreen Co. (Walgreens #10669)
• Ward Medical Consulting LLC
• Kathleen Purcell Washburn, PHD, ARNP, FNP-BC
• George C Weeks III, DDS
• Weldon Medical Products Inc.
• Well-Done Medical Supply

• Adult Psychiatric/Mental Health Registered Nurse in Macclenny, FL
• Providers in Macclenny, FL by specialty
• Adult Psychiatric/Mental Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.