Individual
BOBBIE JO WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3653 N VERMILION ST, DANVILLE, IL 61832-1118
(217) 554-6827
Mailing address
4151 N 1500 EAST RD, RIDGE FARM, IL 61870-6099
(217) 601-3143
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.032170
IL
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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