Jesse L Wallace
AG-ACNP | Nurse Practitioner - Acute Care
500 Martha Jefferson Dr Ste 505, Charlottesville
Virginia, 22911-4668
434-654-5260
Jesse L Wallace is a Charlottesville, Virginia based nurse practitioner who is specialized as Acute Care NP. Active license number of Jesse L Wallace is 0024187479 for Acute Care NP in Virginia. His current practice location is 500 Martha Jefferson Dr Ste 505, Charlottesville. Patients can reach him at 434-654-5260 or can fax him at 434-654-5261. Jesse L Wallace is AG-ACNP with specialization in Acute Care NP and his NPI number (Unique professional ID assigned by NPPES) is 1013697267.
Jesse L Wallace is a licensed independent practitioner and may autonomously provide care. He provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Jesse L Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jesse L Wallace |
| Specialization: | Nurse Practitioner - Acute Care (ACNP) |
| Gender: | Male |
| Credentials: | AG-ACNP |
| Practice Address: | 500 Martha Jefferson Dr Ste 505, Charlottesville,
Virginia, 22911-4668 |
| Phone: | 434-654-5260 |
| Fax: | 434-654-5261 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1013697267 |
| NPI Enumeration Date: | 24 Jul, 2023 |
| NPI Last Update On: | 11 May, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jesse L Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 0024187479 | Acute Care NP | Virginia | Primary | |
| 0024187479 | Anesthesiology | Virginia | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jesse L Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| NONE | Other | | NONE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jesse L Wallace
500 Martha Jefferson Dr Ste 505,
Charlottesville, Virginia |
| Zip: | 22911-4668 |
| Phone Number: | 434-654-5260 |
| Fax Number: | 434-654-5261 |
Patients can reach Jesse L Wallace at
500 Martha Jefferson Dr Ste 505, Charlottesville, Virginia or can
call to book an appointment on 434-654-5260.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 June, 2026.