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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JOANNE WALLIS, ANP

Active Sole Proprietor

MRS. JOANNE WALLIS, ANP is a Family Nurse Practitioner healthcare provider located in WARM SPRINGS, Oregon. NPI 1265437172 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · WARM SPRINGS, OR

Registration Details

NPI Number
1265437172
Provider Type
Individual
Gender
Female
NPI Issued
Jun 16, 2005 (21.121318373451 yrs)
Last Updated
Feb 2, 2017
Licenses
389 (AK)
0017139524 (VA)
389 (AK)
0017139524 (VA)
Sole Proprietor
Yes

Practice Information

Address
1270 KOT-NUM ROAD
WARM SPRINGS, OR, 977611209
Browse OR providers · Browse ZIP 97761
Phone
5415531196
Fax
5415532135
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in WARM SPRINGS, OR

Name Credential NPI
MR. RONALD ARTHUR BERRY RN, FNP 1285625822
DIANA JAYE WAMBAUGH NURSE PRACTITIONER 1366699985
CORINNE ELIZABETH SMITH FNP -BC 1427513837
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.