person
Issaiah Wallace, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Weston, West Virginia
NPI 1508422338

Issaiah Wallace is a Psychiatric/Mental Health Nurse Practitioner based in Enterprise, WV and is specialized in Psychiatric/Mental Health. Issaiah Wallace practices in Weston, WV and has the professional credentials of PMHNP. The NPI Number for Issaiah Wallace is 1508422338 and holds a License No. 102650 (West Virginia).

The current practice location address for Issaiah Wallace is 936 Sharpe Hospital Rd, Weston, WV and can be reached out via phone at 304-269-1210.

Location: 936 Sharpe Hospital Rd, Weston, WV, 26568-0012
person
Provider Profile Details
NPI Number
1508422338
Provider Name
Issaiah Wallace
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
936 Sharpe Hospital Rd, Weston, WV, 26568-0012
Phone Number
304-269-1210
Fax Number
Provider Enumeration Date
05/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
936 Sharpe Hospital Rd
City
State
Zip
26452-8550
Phone Number
304-269-1210
Fax Number
person
Provider Business Mailing Address Details
Address
936 Sharpe Hospital Rd
City
State
Zip
26452-8550
Phone Number
304-269-1210
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
102650 (West Virginia)
Definition
Definition to come...
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