Mrs. Letitia J Wallace

PMHNP-BC | Nurse Practitioner

20 W Bank St, Petersburg
  Virginia, 23803-3279
804-862-8002
May or may not accept Medicare Nurse Anesthetist in Petersburg, Virginia.
Mrs. Letitia J Wallace is a Petersburg, Virginia based nurse practitioner. Active license number of Mrs. Letitia J Wallace is 0024193187 for Psych/Mental Health in Virginia. Her current practice location is 20 W Bank St, Petersburg. Patients can reach her at 804-862-8002 or can fax her at 804-862-8023. Mrs. Letitia J Wallace is PMHNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1619353224.
Mrs. Letitia J 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:
Mrs. Letitia J 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: Mrs. Letitia J Wallace
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: PMHNP-BC
Practice Address:20 W Bank St, Petersburg,
Virginia, 23803-3279
Phone:804-862-8002
Fax:804-862-8023
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: 1619353224
NPI Enumeration Date: 05 Aug, 2015
NPI Last Update On: 10 Apr, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Letitia J Wallace are as mentioned below.
License NumberSpecializationStateStatus
0024193187Psych/Mental Health VirginiaPrimary
0001236086Registered Nurse VirginiaSecondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mrs. Letitia J Wallace
138 Banneker Dr,
Williamsburg, Virginia
Zip: 23185-5635
Phone Number: 804-972-6569
Patients can reach Mrs. Letitia J Wallace at 20 W Bank St, Petersburg, Virginia or can call to book an appointment on 804-862-8002.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.