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Leshonda Tequilla Wallace, FNP
Nurse Practitioner in Wilmington, North Carolina
NPI 1851403257

Leshonda Tequilla Wallace is a Nurse Practitioner based in Atlanta, NC. Leshonda Tequilla Wallace practices in Wilmington, NC and has the professional credentials of FNP. The NPI Number for Leshonda Tequilla Wallace is 1851403257 and holds a License No. 5006194 (North Carolina).

The current practice location address for Leshonda Tequilla Wallace is 1725 New Hanover Medical Park Dr, Wilmington, NC and can be reached out via phone at 910-662-9300 and via fax at 910-662-9301.

Location: 1725 New Hanover Medical Park Dr, Wilmington, NC, 31193-6857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851403257
Provider Name
Leshonda Tequilla Wallace
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1725 New Hanover Medical Park Dr, Wilmington, NC, 31193-6857
Phone Number
910-662-9300
Fax Number
910-662-9301
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1725 New Hanover Medical Park Dr
City
Wilmington
State
North Carolina
Zip
28403-5345
Phone Number
910-662-9300
Fax Number
910-662-9301
person
Provider Business Mailing Address Details
Address
1725 New Hanover Medical Park Dr
City
Wilmington
State
North Carolina
Zip
28403-5345
Phone Number
910-662-9300
Fax Number
910-662-9301
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5006194 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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