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

Mrs. Talia Nicole Wallace, FNP-C

Individual provider Family Nurse Practitioner · NPI 1063937753

Mrs. Talia Nicole Wallace, FNP-C is a Nurse Practitioner in Chesapeake, Virginia. Qualified in 2016, 10 years ago. Practices with Peak Wellness and Aesthetics, LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
10
Licensed in
MD
In the registry since
2017
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

300 Medical Pkwy Ste 314
Chesapeake, VA 23320-4985
Phone: (757) 312-6195
Fax: (757) 937-0998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10215 Fernwood Rd Ste 100, Bethesda, MD 20817-1183 — (301) 493-4440

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AC002032 (MD)

Record details

NPI number1063937753
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 3, 2017
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Peak Wellness And Aesthetics, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chesapeake