Kisha Wallace
Kisha Wallace is an Adult Health Nurse Practitioner in New York, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
1 Gustave L Levy PlNew York, NY 10029-6504
Phone: (212) 241-6500
Fax: (212) 426-5040
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 320 Wilson St, West Hempstead, NY 11552-2019 — (516) 485-5864
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence F308252 (NY) |
|---|
Record details
| NPI number | 1417433939 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 17, 2018 |
| Last updated in NPPES | June 9, 2021 |
| Certification date | June 9, 2021 |
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