Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JELISA WALLACE, CRNP
ActiveJELISA WALLACE, CRNP is a Family Nurse Practitioner healthcare provider located in HUNTSVILLE, Alabama. NPI 1649889478 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · HUNTSVILLE, AL
Registration Details
- NPI Number
- 1649889478
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2020 (6.0674103835813 yrs)
- Last Updated
- Mar 12, 2024
- License
-
F06200386 (AL)
Practice Information
- Address
-
101 SIVLEY RD SWHUNTSVILLE, AL, 358014421Browse AL providers · Browse ZIP 35801
- Phone
- 2562651000
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in HUNTSVILLE, AL
| Name | Credential | NPI |
|---|---|---|
| SUSANNE M WESTMORELAND | CRNP | 1720083215 |
| BEVERLY ANN JOHNSON | CRNP | 1295717627 |
| ELIZABETH ANN O'HALLORAN | CRNP | 1184688160 |
| MRS. LOUISE CAMILLERI O'KEEFE | CRNP | 1235195918 |
| JOHN R CROUCH | CRNP | 1407897036 |
| ANGELA LOUISE CAIRES | CRNP | 1780620336 |
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.