Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERROL B WALLACE, CRNA
ActiveMR. JERROL B WALLACE, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in BALTIMORE, Maryland. NPI 1316084932 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · BALTIMORE, MD
Registration Details
- NPI Number
- 1316084932
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2007 (19.557478421836 yrs)
- Last Updated
- Feb 16, 2021
- Licenses
-
0024167758 (VA)R246272 (MD)
Practice Information
- Address
-
4940 EASTERN AVEBALTIMORE, MD, 212242735Browse MD providers · Browse ZIP 21224
- Phone
- 4105500100
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in BALTIMORE, MD
| Name | Credential | NPI |
|---|---|---|
| KENDRA TOWLES | CRNA | 1861495608 |
| STEVEN BLUESTEIN | C.R.N.A. | 1386640993 |
| CRAIG COPELIN | C.R.N.A. | 1184620718 |
| KATHY CROWLEY | C.R.N.A. | 1265438899 |
| ESTHER OCAMPO OUSBORNE | C.R.N.A. | 1255337820 |
| KATHLEEN MICHAELS | C.R.N.A. | 1487651022 |
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.