DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOSEPH JELKS WALLACE

Active

JOSEPH JELKS WALLACE is a Family Nurse Practitioner healthcare provider located in PUNTA GORDA, Florida. NPI 1891275095 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · PUNTA GORDA, FL

Registration Details

NPI Number
1891275095
Provider Type
Individual
Gender
Male
NPI Issued
Aug 16, 2018 (7.8143794915421 yrs)
Last Updated
Aug 16, 2018
License
866612 (FL)

Practice Information

Address
23361 FERNDALE AVE
PUNTA GORDA, FL, 339804814
Browse FL providers · Browse ZIP 33980
Phone
2392818121
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in PUNTA GORDA, FL

Name Credential NPI
KIMBERLY RICHARDSON ARNP 1952407553
DR. PATRICIA KIZILAY FNP 1093898504
MARIAN N BEDFORD 1104033190
JENNIFER D PERKINS ARNP 1407168701
DR. DEBORAH PAULSEN DNP, FNP-BC 1093007106
JENNIFER MARIE SCHAEFFER ARNP 1255608493
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.