Kimberly Wallace, NP-C

Individual Active
NPI 1619688116
Primary Care Nurse Practitioner Beavercreek, OH

NPI 1619688116 belongs to Kimberly Wallace, NP-C, a primary care nurse practitioner with a practice location in Beavercreek, OH. The NPI was issued on December 6, 2022, and the record was last updated in NPPES on December 6, 2022.

Taxonomies and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X APRN.CNP.0032777 (OH)

Practice location

3535 Pentagon Blvd
Beavercreek, OH 45431-1705
Phone: (937) 702-4000

Local context

Active NPPES records list 53 providers with primary care nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code, 17 of them within 10 miles.

The same primary taxonomy is listed by 543 in Ohio and 13,165 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kimberly Lane Wallace
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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