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

MS. Sara Elizabeth Wallace-Keeshen, FNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1407540602

MS. Sara Elizabeth Wallace-Keeshen, FNP-BC is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2022, 4 years ago. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2023
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2144 Cecil B Moore Ave
Philadelphia, PA 19121-4014
Phone: (215) 320-6187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence SP027631 (PA)

Record details

NPI number1407540602
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJune 8, 2023
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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