Individual
DR. JAMES GAVIN WALLACE-MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, MSN, FNP-C
Contact information
Practice address
1350 CONNECTICUT AVE NW STE 1250, WASHINGTON, DC 20036-1728
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(888) 663-6331
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
Other
Enumeration date
07/27/2022
Last updated
01/26/2026
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