Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANNE M WALLACE, PHD
Active Sole ProprietorJEANNE M WALLACE, PHD is a Nutritionist healthcare provider located in NORTH LOGAN, Utah. NPI 1285911032 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · NORTH LOGAN, UT
Registration Details
- NPI Number
- 1285911032
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2011 (14.785656152961 yrs)
- Last Updated
- Nov 8, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
1697 E 3450 NNORTH LOGAN, UT, 843418310Browse UT providers · Browse ZIP 84341
- Phone
- 4355630053
- Fax
- 4355388058
- Primary Specialty
-
Nutritionist
133N00000X
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.