Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOANNE WALLACE, RN
Active Sole ProprietorJOANNE WALLACE, RN is a Registered Nurse healthcare provider located in SHEPHERD, Michigan. NPI 1144633991 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · SHEPHERD, MI
Registration Details
- NPI Number
- 1144633991
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2014 (12.174363541875 yrs)
- Last Updated
- Jun 10, 2014
- License
-
4704266337 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 DEARING DRSHEPHERD, MI, 488838000Browse MI providers · Browse ZIP 48883
- Phone
- 9894305772
- Primary Specialty
-
Registered Nurse
163W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.