Wallace, Jennifer F.

Wallace, Jennifer F. is an individual health care provider with primary practice located at 262 Danny Thomas Pl , Memphis TN 38105-3678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Wallace, Jennifer F. can be contacted via phone (901) 595-2138.

Contact Information

Primary practice address
262 Danny Thomas Pl Memphis TN 38105-3678
Fax: (901) 595-3842
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 12627 Tennessee

Profile Details

NPI number 1992909196
LBN Legal business name Wallace, Jennifer F.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated May 9th, 2016 - about 10 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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