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Mrs. Barbara Jean Wallace, LPN
Licensed Practical Nurse in Elmira, New York
NPI 1063617231

Barbara Jean Wallace is a Licensed Practical Nurse based in Elmira, NY. Barbara Jean Wallace practices in Elmira, NY and has the professional credentials of LPN. The NPI Number for Barbara Jean Wallace is 1063617231 and holds a License No. 237963-1 (New York).

The current practice location address for Barbara Jean Wallace is 707 Roe Ave, Elmira, NY and can be reached out via phone at 607-732-6992.

Location: 707 Roe Ave, Elmira, NY, 14901-1522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063617231
Provider Name
Barbara Jean Wallace
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
707 Roe Ave, Elmira, NY, 14901-1522
Phone Number
607-732-6992
Fax Number
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02680899 01 NY PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
707 Roe Ave
City
Elmira
State
New York
Zip
14905-1642
Phone Number
607-732-6992
Fax Number
person
Provider Business Mailing Address Details
Address
707 Roe Ave
City
Elmira
State
New York
Zip
14905-1642
Phone Number
607-732-6992
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
237963-1 (New York)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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