Individual
EMILEE JO WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5000
Mailing address
4558 TABNER MOORE RD, APPLE GROVE, WV 25502-8045
(740) 446-5000
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
116178
WV
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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