Individual
JAMIE WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
Mailing address
2324 BROADWAY, GRAND JUNCTION, CO 81507-1472
(970) 331-2309
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APN.0994953-NP
CO
Other
Enumeration date
09/04/2019
Last updated
03/05/2025
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