Wallace, Jenna Rose

Wallace, Jenna Rose is an individual health care provider with primary practice located at 1220 Sheyenne St , West Fargo ND 58078-2637. 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, Jenna Rose can be contacted via phone (701) 234-4445.

Contact Information

Primary practice address
1220 Sheyenne St West Fargo ND 58078-2637
Phone: (701) 234-4445
Fax: (701) 234-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R37792 North Dakota

Profile Details

NPI number 1093236572
LBN Legal business name Wallace, Jenna Rose
Credentials DNP, APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Jul 5th, 2017 - about 9 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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