Wallace, Jordyn

Wallace, Jordyn is an individual health care provider with primary practice located at 700 S Henderson Rd Ste 198 , King Of Prussia PA 19406-3530. 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, Jordyn can be contacted via phone (267) 699-3900.

Contact Information

Primary practice address
700 S Henderson Rd Ste 198 King Of Prussia PA 19406-3530
Phone: (267) 699-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP024856 Pennsylvania

Profile Details

NPI number 1538810734
LBN Legal business name Wallace, Jordyn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2022
Last updated Jan 10th, 2022 - about 4 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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