person
Jelisa Wallace, CRNP
Family Nurse Practitioner in Huntsville, Alabama
NPI 1649889478

Jelisa Wallace is a Family Nurse Practitioner based in Decatur, AL and is specialized in Family. Jelisa Wallace practices in Huntsville, AL and has the professional credentials of CRNP. The NPI Number for Jelisa Wallace is 1649889478 and holds a License No. F06200386 (Alabama).

The current practice location address for Jelisa Wallace is 101 Sivley Rd Sw, Huntsville, AL and can be reached out via phone at 256-265-1000.

Location: 101 Sivley Rd Sw, Huntsville, AL, 35603-2611
person
Provider Profile Details
NPI Number
1649889478
Provider Name
Jelisa Wallace
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
101 Sivley Rd Sw, Huntsville, AL, 35603-2611
Phone Number
256-265-1000
Fax Number
Provider Enumeration Date
07/28/2020
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
101 Sivley Rd Sw
City
State
Zip
35801-4421
Phone Number
256-265-1000
Fax Number
person
Provider Business Mailing Address Details
Address
101 Sivley Rd Sw
City
State
Zip
35801-4421
Phone Number
256-265-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
F06200386 (Alabama)
Definition
Definition to come...
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