Wallace, Jami Michelle

Wallace, Jami Michelle is an individual health care provider with primary practice located at 711 W John H Gwynn Jr Ave , Peoria IL 61605-2270. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Jami Michelle can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
711 W John H Gwynn Jr Ave Peoria IL 61605-2270
Phone: (309) 680-7600
Fax: (309) 671-4695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209012991 Illinois

Profile Details

NPI number 1144606195
LBN Legal business name Wallace, Jami Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2015
Last updated Jul 29th, 2026 - about 3 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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