Individual provider · Type 1 NPI

Kristen Elizabeth Wallace, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Washington, DC

NPI number 1700769130 Active

Practice location

660 L St NW Ste 430
Washington, DC 20001-3615

Call (202) 677-3302 Map

Mailing address

1410 N Scott St Apt 1065
Arlington, VA 22209-2971

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024194511 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1700769130

Kristen Elizabeth Wallace, PMHNP's National Provider Identifier is 1700769130, issued on Jul 31, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Washington, DC. The record was last updated on Apr 20, 2026.