person
Mrs. Jordan Jehree Wallace, PA-C
Medical Physician Assistant in Little Rock, Arkansas
NPI 1063291789

Jordan Jehree Wallace is a Medical Physician Assistant based in Little Rock, AR and is specialized in Medical. Jordan Jehree Wallace practices in Little Rock, AR and has the professional credentials of PA-C. The NPI Number for Jordan Jehree Wallace is 1063291789 and holds a License No. PA-1208 (Arkansas).

The current practice location address for Jordan Jehree Wallace is 4301 W Markham St # 721, Little Rock, AR and can be reached out via phone at 501-526-6062 and via fax at 501-686-5780.

Location: 4301 W Markham St # 721, Little Rock, AR, 72205-7101
person
Provider Profile Details
NPI Number
1063291789
Provider Name
Jordan Jehree Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4301 W Markham St # 721, Little Rock, AR, 72205-7101
Phone Number
501-526-6062
Fax Number
501-686-5780
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4301 W Markham St # 721
City
State
Zip
72205-7101
Phone Number
501-526-6062
Fax Number
501-686-5780
person
Provider Business Mailing Address Details
Address
4301 W Markham St # 721
City
State
Zip
72205-7101
Phone Number
501-526-6062
Fax Number
501-686-5780
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-1208 (Arkansas)
Definition
Definition to come...
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