person
Jamie Wallace, NP
Family Nurse Practitioner in Oswego, New York
NPI 1104608595

Jamie Wallace is a Family Nurse Practitioner based in Oswego, NY and is specialized in Family. Jamie Wallace practices in Oswego, NY and has the professional credentials of NP. The NPI Number for Jamie Wallace is 1104608595 and holds a License No. 763557 (New York).

The current practice location address for Jamie Wallace is 110 W Utica St, Oswego, NY and can be reached out via phone at 315-668-1202.

Location: 110 W Utica St, Oswego, NY, 13126-3047
person
Provider Profile Details
NPI Number
1104608595
Provider Name
Jamie Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
110 W Utica St, Oswego, NY, 13126-3047
Phone Number
315-668-1202
Fax Number
Provider Enumeration Date
10/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
110 W Utica St
City
State
Zip
13126-3047
Phone Number
315-668-1202
Fax Number
person
Provider Business Mailing Address Details
Address
110 W Utica St
City
State
Zip
13126-3047
Phone Number
315-668-1202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
763557 (New York)
Definition
Definition to come...
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