Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ISSAIAH WALLACE, PMHNP
ActiveISSAIAH WALLACE, PMHNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in WESTON, West Virginia. NPI 1508422338 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · WESTON, WV
Registration Details
- NPI Number
- 1508422338
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2019 (7.210575177309 yrs)
- Last Updated
- Sep 22, 2025
- License
-
102650 (WV)
Practice Information
- Address
-
936 SHARPE HOSPITAL RDWESTON, WV, 264528550Browse WV providers · Browse ZIP 26452
- Phone
- 3042691210
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Other Psychiatric/Mental Health Nurse Practitioner Providers in WESTON, WV
| Name | Credential | NPI |
|---|---|---|
| JENNIFER KATHLEEN FRAZIER | PMHNP | 1417412727 |
| CRYSTAL CORICA | PMHNP | 1558958405 |
| BARBARA CARTWRIGHT | PMHNP-BC | 1609583426 |
| MR. MUZEYI MBOGHONYA FORKA | NP | 1003797549 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.