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Michael Wallis, NP
Nurse Practitioner in Jennings, Louisiana
NPI 1285050690

Michael Wallis is a Nurse Practitioner based in Lafayette, LA. Michael Wallis practices in Jennings, LA and has the professional credentials of NP. The NPI Number for Michael Wallis is 1285050690 and holds a License No. RN112816 (Louisiana).

The current practice location address for Michael Wallis is 1634 Elton Rd, Jennings, LA and can be reached out via phone at 800-893-9698.

Location: 1634 Elton Rd, Jennings, LA, 70508-3870
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285050690
Provider Name
Michael Wallis
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
1634 Elton Rd, Jennings, LA, 70508-3870
Phone Number
800-893-9698
Fax Number
Provider Enumeration Date
03/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2356003 05 LA
institution
Provider Business Practice Location Address Details
Address
1634 Elton Rd
City
Jennings
State
Louisiana
Zip
70546-3614
Phone Number
800-893-9698
Fax Number
person
Provider Business Mailing Address Details
Address
1634 Elton Rd
City
Jennings
State
Louisiana
Zip
70546-3614
Phone Number
800-893-9698
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN112816 (Louisiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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