PRESLEY WALLACE
NPI 1023937711
Nurse Practitioner - Family in Charleston, WV
About Presley Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRESLEY WALLACE (NPI 1023937711) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (112878) and active in the NPI registry since July 2026. She maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLESTON, WV 25304
CHARLESTON, WV 25304
CHARLESTON, WV 25304
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Presley Wallace's NPI number?
The NPI number for Presley Wallace is 1023937711. It was assigned to this individual provider in the NPPES registry on July 15, 2026.
Where is Presley Wallace located?
Presley Wallace practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5432.
What is Presley Wallace's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
When was this NPI record last updated?
The NPPES record for Presley Wallace was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Presley Wallace · NPI 1023937711
Family physician in Charleston, West Virginia. Individual provider, active in the CMS NPPES registry since July 15, 2026.
## Identity
- **NPI:** 1023937711 (Entity type: Individual)
- **Enumerated:** July 15, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 112878 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3200 MACCORKLE AVE SE, Charleston, WV 25304-1227
- **Phone:** (304) 388-5432
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1023937711) · Data from the CMS NPPES public registry.