Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ashleigh Marie Wallace, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1881369536

Ashleigh Marie Wallace, NURSEPRACTITIONER is a Nurse Practitioner in Manassas, Virginia. Qualified in 2021, 5 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2021
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Practice location Address checks out

9306 Forest Point Cir
Manassas, VA 20110-4700
Phone: (703) 330-3322
Fax: (703) 330-3322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 39 V St Ne, Washington, DC 20002-1329 — (551) 295-8223
  • 20130 Lakeview Center Plz Ste 400, Ashburn, VA 20147-5905 — (551) 295-8223
  • 10560 Main St Ste 210, Fairfax, VA 22030-7176 — (703) 330-3322

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024182364 (VA)

Record details

NPI number1881369536
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 14, 2021
Last updated in NPPESSeptember 11, 2025
Certification dateSeptember 11, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Manassas