MRS. LETITIA J WALLACE (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1619353224

MRS. LETITIA J WALLACE (PMHNP-BC) is a healthcare provider. based in Petersburg, Virginia. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials PMHNP-BC. They hold a License No. 0001236086 (VA). The NPI Number for MRS. LETITIA J WALLACE (PMHNP-BC) is 1619353224

Main info

Female
Sole Proprietor
Name
MRS. LETITIA J WALLACE (PMHNP-BC)
NPI
1619353224
Phone
(804) 862-8002
Address
20 W BANK ST
Enumeration Date
5 August 2015
Last Update Date
26 June 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:10State licenses:2Digital endpointsOther names

Provider Addresses for MRS. LETITIA J WALLACE (PMHNP-BC)

  • 20 W BANK ST

    PETERSBURG, VA 238033279

    Phone: (804) 862-8002

    Fax: (804) 862-8023

    Type: Mailing

  • 8401 MAYLAND DR # 5766

    RICHMOND, VA 232944648

    Phone: (804) 635-6535

    Type: Mailing

  • 20 W Bank St

    Petersburg, VA 238033279

    Phone: (804) 862-8002

    Fax: (804) 862-8023

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23803)

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Reviews

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Frequently asked questions

How do I look up MRS. LETITIA J WALLACE (PMHNP-BC) by NPI?
Use NPI 1619353224 when you need to reference MRS. LETITIA J WALLACE (PMHNP-BC) in forms, claims, or directories.
Is MRS. LETITIA J WALLACE (PMHNP-BC) active in the national directory?
MRS. LETITIA J WALLACE (PMHNP-BC)'s public NPI profile is in an active state.
What kind of provider is MRS. LETITIA J WALLACE (PMHNP-BC)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MRS. LETITIA J WALLACE (PMHNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for MRS. LETITIA J WALLACE (PMHNP-BC)?
We surface Petersburg, Virginia for MRS. LETITIA J WALLACE (PMHNP-BC) based on available NPPES addresses.
How can I contact MRS. LETITIA J WALLACE (PMHNP-BC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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