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

Ashlyn Wallace, FNP-C

Individual provider Family Nurse Practitioner · NPI 1104640887

Ashlyn Wallace, FNP-C is a Nurse Practitioner in Fairfax, Virginia. Graduated from Georgetown University School of Medicine in 2024, 2 years ago. Practices with Virginia Cancer Specialists, PC, a 79-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Trained at
Georgetown University School of Medicine
Licensed in
VA
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

8613 Route 29 Ste 200N
Fairfax, VA 22031-2171
Phone: (571) 350-8400
Fax: (703) 280-9596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024191724 (VA)

Record details

NPI number1104640887
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing address3040 Williams Dr Ste 100, Fairfax, VA 22031-4618

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Virginia Cancer Specialists, P.C. — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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