Individual
APRIL A WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
671 HIGHWAY 58 E, NORTON, VA 24273-3007
(276) 679-5874
(276) 679-6912
Mailing address
105 W STONE DR STE 6A, KINGSPORT, TN 37660-3256
(423) 408-7220
(423) 408-7405
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
0001149129
VA
363LF0000X
Family Nurse Practitioner
Primary
0024175646
VA
Other
Enumeration date
12/19/2017
Last updated
05/18/2023
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