Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Letitia J Wallace, PMHNP-BC

Individual provider Registered Nurse · NPI 1619353224

Mrs. Letitia J Wallace, PMHNP-BC is a Registered Nurse in Richmond, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

8401 Mayland Dr # 5766
Richmond, VA 23294-4648
Phone: (804) 635-6535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 W Bank St, Petersburg, VA 23803-3279 — (804) 862-8002

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024193187 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001236086 (VA)

Record details

NPI number1619353224
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedAugust 5, 2015
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025

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