Individual
ASHLEY SMITH WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
DUKE UNIVERSITY HOSPITAL SOUTH, 200 TRENT DRIVE-CLINIC 2D, DURHAM, NC 27710-0001
(919) 681-4224
Mailing address
DUKE UNIVERSITY HOSPITAL SOUTH CLINIC 2D, PO BOX 3094 MED CTR, DURHAM, NC 27710-0001
(919) 681-4224
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004117
NC
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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