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Jaclyn Renee Wallace, NNP-BC
Critical Care Neonatal Nurse Practitioner in Atlanta, Georgia
NPI 1326572801

Jaclyn Renee Wallace is a Critical Care Neonatal Nurse Practitioner based in Atlanta, GA and is specialized in Neonatal, Critical Care. Jaclyn Renee Wallace practices in Atlanta, GA and has the professional credentials of NNP-BC. The NPI Number for Jaclyn Renee Wallace is 1326572801 and holds a License No. RN211895 (Georgia).

The current practice location address for Jaclyn Renee Wallace is 1711 Tullie Cir Ne, Atlanta, GA and can be reached out via phone at 404-785-5413 and via fax at 404-785-6233.

Location: 1711 Tullie Cir Ne, Atlanta, GA, 30329-2305
person
Provider Profile Details
NPI Number
1326572801
Provider Name
Jaclyn Renee Wallace
Credential
NNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1711 Tullie Cir Ne, Atlanta, GA, 30329-2305
Phone Number
404-785-5413
Fax Number
404-785-6233
Provider Enumeration Date
04/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1711 Tullie Cir Ne
City
State
Zip
30329-2305
Phone Number
404-785-5413
Fax Number
404-785-6233
person
Provider Business Mailing Address Details
Address
1711 Tullie Cir Ne
City
State
Zip
30329-2305
Phone Number
404-785-5413
Fax Number
404-785-6233
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal, Critical Care
Taxonomy
License No.
RN211895 (Georgia)
Definition
Definition to come...
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