Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA LYNN WALLACE, RN
ActiveLISA LYNN WALLACE, RN is a Neonatal Intensive Care Nurse healthcare provider located in JACKSONVILLE, Florida. NPI 1396403135 is currently active in the NPPES registry. Verify at CMS.
Neonatal Intensive Care Nurse · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1396403135
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 29, 2021 (4.7410170706026 yrs)
- Last Updated
- Nov 29, 2021
- License
-
RN089537 (GA)
Practice Information
- Address
-
800 PRUDENTIAL DRJACKSONVILLE, FL, 322078211Browse FL providers · Browse ZIP 32207
- Phone
- 9042028000
- Primary Specialty
-
Neonatal Intensive Care Nurse
163WN0002X
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.