person
Mrs. Jill Marie Wallace, NP
Family Nurse Practitioner in Charlotte, North Carolina
NPI 1598121220

Jill Marie Wallace is a Family Nurse Practitioner based in Charlotte, NC and is specialized in Family. Jill Marie Wallace practices in Charlotte, NC and has the professional credentials of NP. The NPI Number for Jill Marie Wallace is 1598121220 and holds a License No. 19659 (North Carolina).

The current practice location address for Jill Marie Wallace is 16406 Birchley Cir, Charlotte, NC and can be reached out via phone at 704-258-4240.

Location: 16406 Birchley Cir, Charlotte, NC, 28213-4314
person
Provider Profile Details
NPI Number
1598121220
Provider Name
Jill Marie Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
16406 Birchley Cir, Charlotte, NC, 28213-4314
Phone Number
704-258-4240
Fax Number
Provider Enumeration Date
01/11/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
16406 Birchley Cir
City
State
Zip
28213-4314
Phone Number
704-258-4240
Fax Number
person
Provider Business Mailing Address Details
Address
16406 Birchley Cir
City
State
Zip
28213-4314
Phone Number
704-258-4240
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
19659 (South Carolina)
Definition
Definition to come...
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