Wallace, Jena

Wallace, Jena is an individual health care provider with primary practice located at 322 Mulberry St Sw Ste A , Lenoir NC 28645-5703. 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, Jena can be contacted via phone (828) 757-6460.

Contact Information

Primary practice address
322 Mulberry St Sw Ste A Lenoir NC 28645-5703
Fax: (828) 759-4901
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 253837 North Carolina

Profile Details

NPI number 1699122820
LBN Legal business name Wallace, Jena
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2016
Last updated Mar 17th, 2021 - about 5 years 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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