NPI age
19 years
Enumerated 2006-08-20
● Active
Type 1 · Individual
MRS. Wanda Lisa Street, APRN-BC
Street is 1 of 8 nurse practitioner providers in Fort Benning and 1 of 1622 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-12-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1622 active nurse practitioner providers in Georgia.
NPI age
19 years
↑ 15 yr above median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
6600 Van Aalst Blvd
Fort Benning, GA 319052102
Mailing address
1654 Ossahatchie Creek Rd
Ellerslie, GA 318075342
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Registered NurseDefinition to come...
Practice context
Part of a multi-provider practice. 179 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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