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Individual

MS. JOY WALLACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
867 OUTER RD STE A, ORLANDO, FL 32814-6652
(407) 898-6588
(407) 896-3785
Mailing address
867 OUTER RD STE A, ORLANDO, FL 32814-6652
(407) 898-6588
(407) 896-3785

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9186736
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP9186736
FL

Other

Enumeration date
03/05/2015
Last updated
08/05/2020
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