Susan Wallace, MSN, ANP-BC, NP
Verification result: Current license matched
Florida Advanced Practice Registered Nurse License: Clear
Owner
- License #3262052
- Expires April 30, 2027
- NPI: 1104000199
- Primary taxonomy: Nurse Practitioner, Adult Health
- Verified September 20, 2026
View verification evidence
Clinic-reported
- Clinic-stated role
- Owner
- Credential
- MSN, ANP-BC, NP
- Named as medical director
- Not stated
- Named as an injector
- Not stated on the pages reviewed
- Clinic source
- nuimagespa.com
- Date checked
- September 30, 2026
Susan Wallace, MSN, ANP-BC
Federal provider record
- NPI
- 1104000199
- Primary taxonomy
- Nurse Practitioner, Adult Health
- Source
- NPPES NPI Registry
- Date checked
- September 20, 2026
State professional license
- Credential
- MSN, ANP-BC, NP
- State license
- Advanced Practice Registered Nurse, Florida Department of Health, Division of Medical Quality Assurance
- License number
- 3262052
- Status
- Clear
- Expires
- 04/30/2027
- Checked
- September 20, 2026
Board action recorded: None found in the file we read.
Advanced Practice Registered Nurse license 3262052; SUSAN A WALLACE; status: Clear; expires 04/30/2027; board action: N; practice city LUTZ
State data published August 25, 2026.
Verification finding
- Result
- Current license matched (Clear)
Nu Image Salon & Medspa names Susan Wallace, MSN, ANP-BC, NP, with the stated role Owner. Verified Injector matched this clinician to license 3262052 at the Florida Department of Health, Division of Medical Quality Assurance, which that board recorded as Clear when checked September 20, 2026.