Individual provider · Type 1 NPI

Presley Wallace

Family Nurse Practitioner · Charleston, WV

NPI number 1023937711 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Mailing address

1819 Martins Branch Rd
Charleston, WV 25312-5607

Other practice locations

  • 3200 Maccorkle Ave SE Fl 4, Charleston, WV 25304-1227 · (304) 388-5395
  • 800 Pennsylvania Ave, Charleston, WV 25302-3351 · (304) 388-5432
  • 501 Morris St, Charleston, WV 25301-1326 · (304) 388-5432
  • 1400 Hospital Dr, Hurricane, WV 25526-9202 · (304) 757-1700

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X112878 (WV)

Family Nurse Practitioner: Definition to come...

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About NPI 1023937711

Presley Wallace's National Provider Identifier is 1023937711, issued on Jul 15, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, WV. The record was last updated on Oct 12, 2026.