Individual
JEANNE M WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
360 E FOUR HORSES CIR, ORO VALLEY, AZ 85704-7209
(716) 307-5818
Mailing address
360 E FOUR HORSES CIR, ORO VALLEY, AZ 85704-7209
(716) 307-5818
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
322628
AZ
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
322628
AZ
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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