Leshonda Wallace PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LESHONDA WALLACE PLLC

Practice address

3804 Juvenile Center Dr Ste 2
Castle Hayne, NC 28429-6158

Phone

(910) 623-1362

Fax

(910) 623-1368

NPI assigned

Aug 26, 2025

Last updated

Aug 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leshonda Wallace, NFPNPI 1851403257

Title

Owner

Phone

(888) 659-7552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leshonda Tequilla Wallace, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
  • NPI 1851403257
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1952289993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 JUVENILE CENTER DR STE 2",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 JUVENILE CENTER DR STE 2",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296158",
            "telephone_number": "910-623-1362",
            "fax_number": "910-623-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESHONDA WALLACE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LESHONDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-659-7552",
        "authorized_official_credential": "NFP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah A Hendrix
• Hermitage House
• Josalin Hunter, PHD, MSW, MPH
• Journey to Healing, LLC
• KCM Ventures (Helping Hands Home)
• April Jones Macalpine, PD.D
• Marc's Manor LLC
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07350)
• One Home Medical Equipment NC, LLC
• Jennifer R. Ordonez, LCSW

• Family Nurse Practitioner in Castle Hayne, NC
• Providers in Castle Hayne, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.