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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ABIGAIL GRACE WALLER
NPI 1639092745
Student in an Organized Health Care Education/Training Program in Portsmouth, VA

Active since August 04, 2026
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708(757) 953-3198 Get Directions Write a Review

NPPES record added: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Abigail Grace Waller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABIGAIL GRACE WALLER (NPI 1639092745) is an individual student in an organized health care education/training program in Portsmouth, Virginia and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1639092745
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameABIGAIL GRACE WALLER
Location Address620 JOHN PAUL JONES CIRPortsmouth, VA 23708-2111
Mailing Address2335 Purple Martin LnVirginia Beach, VA 23455-1554 · (617) 650-2395
Phone(757) 953-3198
Sole ProprietorNo
Enumeration DateAugust 4, 2026
NPPES CertifiedAugust 4, 2026
✔ NPI 1639092745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
620 JOHN PAUL JONES CIR, Portsmouth, VA 23708
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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.

MEREDITH TVERDOSI CRNA
Nurse Anesthetist, Certified Registered
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-3238
ERIC FRANCIS SULAVA
Emergency Medicine
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
MRS. TIFFNY KUPER RHH
Dental Hygienist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2711
DR. LAKEISHA GOODE PHARMD
Pharmacist
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-7462
JASMINE WOOD MD
Surgery
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1895
NICHOLAS FANSELOW
General Practice
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-0669
DR. DAVID JESSEN MD
Military Health Care Provider
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-2518
DR. DANIEL VERNON UNGER M.D.
Orthopaedic Surgery
620 JOHN PAUL JONES CIR, NAVAL MEDICAL CENTER
PORTSMOUTH, VA 23708
Portsmouth City (757) 953-1888

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 Abigail Waller's NPI number?

The NPI number for Abigail Waller is 1639092745. It was assigned to this individual provider in the NPPES registry on August 4, 2026.

Where is Abigail Waller located?

Abigail Waller practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-3198.

What is Abigail Waller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Abigail Waller was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.