Marysa P Wallace, AGNP-C
Marysa P Wallace, AGNP-C is a Nurse Practitioner in Fayetteville, Georgia. Graduated from Mercer University School of Medicine in 2016, 10 years ago. Practices with Nsh Cancer Institute Professional Services G LLC, a 116-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.
- Years since qualifying
- 10
- Trained at
- Mercer University School of Medicine
- Licensed in
- GA
- In the registry since
- 2023
Practice location Address checks out
132 Old Norton Rd Ste 200Fayetteville, GA 30215-4873
Phone: (678) 817-1117
Fax: (678) 817-0823
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 RN259981 (GA) |
|---|
Record details
| NPI number | 1932989357 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | October 3, 2023 |
| Last updated in NPPES | August 14, 2024 |
| Certification date | August 14, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2016 (10 years in practice) |
| Group practice | Nsh Cancer Institute Professional Services G Llc — 116 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Fayetteville
-
Mr. John W Sims, NP
1275 Highway 54 W Ste 200, Fayetteville, GA 30214-4549 · (770) 461-3776
-
Erin Dee Smith
1336 Highway 54 W Bldg 500, Fayetteville, GA 30214-4574 · (770) 461-1238
-
Marcia Lanette Timmons, FNP
105 Carnegie Pl Ste 103, Fayetteville, GA 30214-5900 · (770) 716-7999
-
Sridevi Venugopal
1255 Highway 54 W, Fayetteville, GA 30214-4526 · (770) 716-0051
-
Fang Helen Yu, NURSEPRACTITIONER
1240 Highway 54 W Bldg 300 Ste 310, Fayetteville, GA 30214-4557 · (770) 461-6400