person
Jean A. Wallace, NP
Neonatal Nurse Practitioner in Manhasset, New York
NPI 1144480088

Jean A. Wallace is a Neonatal Nurse Practitioner based in Dix Hills, NY and is specialized in Neonatal. Jean A. Wallace practices in Manhasset, NY and has the professional credentials of NP. The NPI Number for Jean A. Wallace is 1144480088 and holds a License No. F350149 (New York).

The current practice location address for Jean A. Wallace is 300 Community Dr, Manhasset, NY and can be reached out via phone at 516-562-4665. You can also correspond with Jean A. Wallace through the mailing address at 130 ELMWOOD DR, DIX HILLS, NY - 11746-5658 (mailing address contact number: 631-549-1357).

Location: 300 Community Dr, Manhasset, NY, 11746-5658
person
Provider Profile Details
NPI Number
1144480088
Provider Name
Jean A. Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
300 Community Dr, Manhasset, NY, 11746-5658
Phone Number
516-562-4665
Fax Number
Provider Enumeration Date
06/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Community Dr
City
State
Zip
11030-3816
Phone Number
516-562-4665
Fax Number
person
Provider Business Mailing Address Details
Address
300 Community Dr
City
State
Zip
11030-3816
Phone Number
516-562-4665
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
F350149 (New York)
Definition
Definition to come...
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