Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN O WALLACE, CRNA
ActiveJONATHAN O WALLACE, CRNA is a Anesthesiology healthcare provider located in MOBILE, Alabama. NPI 1609821156 is currently active in the NPPES registry. Verify at CMS.
Anesthesiology · MOBILE, AL
Registration Details
- NPI Number
- 1609821156
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2006 (20.184624427541 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
1101813 (AL)1101813 (AL)
Practice Information
- Address
-
5 MOBILE INFIRMARY CIRMOBILE, AL, 366073513Browse AL providers · Browse ZIP 36607
- Phone
- 2514324497
- Fax
- 2514320577
- Primary Specialty
-
Anesthesiology
207L00000X
- Additional Specialty
- Anesthesiology
Other Anesthesiology Providers in MOBILE, AL
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTOPHER T LAMBERT | MD | 1962402032 |
| DR. JOHN A ALEXANDER | MD | 1689669491 |
| DR. RONALD S BROWN JR. | MD | 1326033168 |
| JON BOTTS | DO | 1740275585 |
| DR. DONALD T BUTTS | MD | 1093700775 |
| DR. DONNA DARK-MEZICK | MD | 1679569131 |
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.