person
Lisa Catherine Sims Wallace, CRNP
Pediatric Nurse Practitioner in Florence, Alabama
NPI 1770594400

Lisa Catherine Sims Wallace is a Pediatric Nurse Practitioner based in Florence, AL and is specialized in Pediatrics. Lisa Catherine Sims Wallace practices in Florence, AL and has the professional credentials of CRNP. The NPI Number for Lisa Catherine Sims Wallace is 1770594400 and holds a License No. 1756561 (Alabama).

The current practice location address for Lisa Catherine Sims Wallace is 421 West College St, Florence, AL and can be reached out via phone at 256-764-9522 and via fax at 256-764-1139. You can also correspond with Lisa Catherine Sims Wallace through the mailing address at 421 WEST COLLEGE ST, FLORENCE, AL - 35630 (mailing address contact number: 256-764-9522).

Location: 421 West College St, Florence, AL, 35630
person
Provider Profile Details
NPI Number
1770594400
Provider Name
Lisa Catherine Sims Wallace
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
421 West College St, Florence, AL, 35630
Phone Number
256-764-9522
Fax Number
256-764-1139
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51030973 01 AL BC
institution
Provider Business Practice Location Address Details
Address
421 West College St
City
State
Zip
35630
Phone Number
256-764-9522
Fax Number
256-764-1139
person
Provider Business Mailing Address Details
Address
421 West College St
City
State
Zip
35630
Phone Number
256-764-9522
Fax Number
256-764-1139
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
1756561 (Alabama)
Definition
Definition to come...
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