Kelly Elizabeth Wallace is a Petersburg, Virginia based nurse practitioner with 4 years of experience in . She completed her graduation in 2021. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kelly Elizabeth Wallace is 0024183547 in Virginia. Her current practice location is 200 Medical Park Blvd, Petersburg. Patients can reach her at 804-765-5000. Kelly Elizabeth Wallace is NP and her NPI number (Unique professional ID assigned by NPPES) is 1417609694. Kelly Elizabeth Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly Elizabeth 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:
Kelly Elizabeth Wallace
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
4+ years
Medical School Attended:
Other
Graduation Year:
2021
Accepts Medicare Assignment:
Yes
Practice Address:
200 Medical Park Blvd, Petersburg, Virginia, 23805-9274
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.
PAC ID:
9537552286
Enrollment ID:
I20220202001007
NPI Number:
1417609694
NPI Enumeration Date:
19 Jan, 2022
NPI Last Update On:
27 Jan, 2022
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Elizabeth Wallace are as mentioned below.
License Number
Specialization
State
Status
0024183547
Virginia
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kelly Elizabeth Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Alexandria Springfield Emergency Physicians Pc (1052558954)
61
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kelly Elizabeth Wallace 2610 Setting Sun Dr, Powhatan, Virginia
Zip:
23139-7552
Phone Number:
910-443-1679
Patients can reach Kelly Elizabeth Wallace at 200 Medical Park Blvd, Petersburg, Virginia or can call to book an appointment on 804-765-5000.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.