person
Brandy S Wallace
Family Nurse Practitioner in New Orleans, Louisiana
NPI 1770113441

Brandy S Wallace is a Family Nurse Practitioner based in Quitman, LA and is specialized in Family. Brandy S Wallace practices in New Orleans, LA. The NPI Number for Brandy S Wallace is 1770113441 and holds a License No. 903712 (Louisiana).

The current practice location address for Brandy S Wallace is 6823 Saint Charles Ave Bldg 92, New Orleans, LA and can be reached out via phone at 504-865-5255.

Location: 6823 Saint Charles Ave Bldg 92, New Orleans, LA, 39355-9668
person
Provider Profile Details
NPI Number
1770113441
Provider Name
Brandy S Wallace
Credential
Provider Entity Type
Individual
Gender
Female
Address
6823 Saint Charles Ave Bldg 92, New Orleans, LA, 39355-9668
Phone Number
504-865-5255
Fax Number
Provider Enumeration Date
01/22/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6823 Saint Charles Ave Bldg 92
City
State
Zip
70118-5665
Phone Number
504-865-5255
Fax Number
person
Provider Business Mailing Address Details
Address
6823 Saint Charles Ave Bldg 92
City
State
Zip
70118-5665
Phone Number
504-865-5255
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
903712 (Mississippi)
Definition
Definition to come...
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