Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL WALLIS, NP
ActiveMICHAEL WALLIS, NP is a Nurse Practitioner healthcare provider located in JENNINGS, Louisiana. NPI 1285050690 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · JENNINGS, LA
Registration Details
- NPI Number
- 1285050690
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2014 (12.411090194802 yrs)
- Last Updated
- Jan 26, 2020
- License
-
RN112816 (LA)
Practice Information
- Address
-
1634 ELTON RDJENNINGS, LA, 705463614Browse LA providers · Browse ZIP 70546
- Phone
- 8008939698
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in JENNINGS, LA
| Name | Credential | NPI |
|---|---|---|
| MARY ANN DUCKWORTH | N.P. | 1609325034 |
| NYRA D KERSHAW | — | 1164394011 |
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.