Individual
DR. JAMES GAVIN WALLACE-MERCADO
Active
Individual
DR. JAMES GAVIN WALLACE-MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, MSN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
984504
TX
363L00000X
Nurse Practitioner
Primary
NP200003078
DC
363LF0000X
Family Nurse Practitioner
0024185745
VA
363LF0000X
Family Nurse Practitioner
1168661
TX
363LF0000X
Family Nurse Practitioner
3-002726
AL
363LF0000X
Family Nurse Practitioner
358275
NY
363LF0000X
Family Nurse Practitioner
76798
NM
363LF0000X
Family Nurse Practitioner
908120
MS
363LF0000X
Family Nurse Practitioner
AC008761
MD
363LF0000X
Family Nurse Practitioner
APRN11033095
FL
363LF0000X
Family Nurse Practitioner
GAA-NP004634
GA
363LF0000X
Family Nurse Practitioner
Primary
NP200003078
DC
Other
Enumeration date
07/27/2022
Last updated
05/25/2026
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