Kelly Elizabeth Wallace, NP
Kelly Elizabeth Wallace, NP is a Nurse Practitioner in Petersburg, Virginia. Qualified in 2021, 5 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Virginia.
- Years since qualifying
- 5
- Licensed in
- VA
- In the registry since
- 2022
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
200 Medical Park BlvdPetersburg, VA 23805-9274
Phone: (804) 765-5000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 0024183547 (VA) |
|---|
Record details
| NPI number | 1417609694 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NP |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2022 |
| Last updated in NPPES | January 27, 2022 |
| Certification date | January 27, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Cep America Llc — 985 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Petersburg
-
Mrs. Gabrielle Lynn Farrar, NP
263 Medical Park Blvd, Petersburg, VA 23805-0002 · (804) 431-1100
-
Paladin Dermatology LLC
44 A& B Medical Park Blvd, Petersburg, VA 23805 · (804) 648-4802
-
Kathyrn Scribner, NP
44 Medical Park Blvd Ste A, Petersburg, VA 23805-9349 · (804) 324-4511
-
Terry M Tuck, NP-BC
2820 Normandy Dr, Petersburg, VA 23805-9372 · (804) 504-8764
-
Sandra G Williams
95 Medical Park Blvd, Petersburg, VA 23805-9280 · (804) 220-5770
-
Jennifer Wood, FNP-BC
350 Poplar Dr, Petersburg, VA 23805-9367 · (804) 244-1250