Wallace-Mercado, James Gavin

Wallace-Mercado, James Gavin is an individual health care provider with primary practice located at 6677 Richmond Hwy , Alexandria VA 22306-6647. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / General Practice. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Wallace-Mercado, James Gavin can be contacted via phone (703) 535-5568.

Contact Information

Primary practice address
6677 Richmond Hwy Alexandria VA 22306-6647
Phone: (703) 535-5568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024185745 Virginia
Nursing Service Providers / General Practice 163WG0000X 984504 Texas

Profile Details

NPI number 1023744406
LBN Legal business name Wallace-Mercado, James Gavin
Credentials DNP, MSN, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2022
Last updated Jan 9th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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