JESSE WALLACE, AG-ACNP
Nurse Practitioner - Acute Care
Active
Individual
NPI: 1013697267
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Anesthesiology - Critical Care Medicine | 207LC0200X | No | 0024187479 (VA) |
| Nurse Practitioner - Acute Care | 363LA2100X | Yes | 0024187479 (VA) |
Frequently Asked Questions
NPI 1013697267 is the National Provider Identifier for JESSE WALLACE, AG-ACNP, a Nurse Practitioner - Acute Care provider located in Charlottesville, VA. This NPI was enumerated on July 24, 2023.
JESSE WALLACE, AG-ACNP practices at 1215 LEE ST, Charlottesville, VA 22908.
Quick Facts
- NPI
- 1013697267
- Type
- Individual
- Enumerated
- Jul 24, 2023
- Last Updated
- Dec 6, 2024
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