Individual provider · Type 1 NPI

Molly Wallis, APRN FNP-C

Family Nurse Practitioner · Daytona Beach, FL

NPI number 1053157123 Active

Practice location

1667 N Clyde Morris Blvd Ste 2
Daytona Beach, FL 32117-5500

Call (386) 274-1414 Map

Mailing address

137 Heathrow Dr
Daytona Beach, FL 32117-3831

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	APRN11033449 (FL)

Family Nurse Practitioner: Definition to come...

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Sabrina Guzsvany, FNP BC-CFamily Nurse Practitioner Daytona Beach, FL NPI 1902684749
Shawn Demian Kelly, APRNFamily Nurse Practitioner Daytona Beach, FL NPI 1174831093
Tamara S. Michael, APRNFamily Nurse Practitioner Daytona Beach, FL NPI 1982741724
Veronica Gema Pellino, FNP-CFamily Nurse Practitioner Daytona Beach, FL NPI 1275412041

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About NPI 1053157123

Molly Wallis, APRN FNP-C's National Provider Identifier is 1053157123, issued on Jul 8, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Daytona Beach, FL. The record was last updated on Feb 28, 2025.