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Jami Michelle Wallace, APN
Family Nurse Practitioner in Pekin, Illinois
NPI 1144606195

Jami Michelle Wallace is a Family Nurse Practitioner based in Pekin, IL and is specialized in Family. Jami Michelle Wallace practices in Pekin, IL and has the professional credentials of APN. The NPI Number for Jami Michelle Wallace is 1144606195 and holds a License No. 209012991 (Illinois).

The current practice location address for Jami Michelle Wallace is 3591 Griffin Ave, Pekin, IL and can be reached out via phone at 309-353-6301.

Location: 3591 Griffin Ave, Pekin, IL, 61554-6258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144606195
Provider Name
Jami Michelle Wallace
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
3591 Griffin Ave, Pekin, IL, 61554-6258
Phone Number
309-353-6301
Fax Number
Provider Enumeration Date
07/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3591 Griffin Ave
City
Pekin
State
Illinois
Zip
61554-6258
Phone Number
309-353-6301
Fax Number
person
Provider Business Mailing Address Details
Address
3591 Griffin Ave
City
Pekin
State
Illinois
Zip
61554-6258
Phone Number
309-353-6301
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209012991 (Illinois)
Definition
Definition to come...
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