Individual
MRS. JULIE ANN WALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
149 JERRY WEST HWY STE 2A, LOGAN, WV 25601-3967
(304) 752-5100
(304) 250-3685
Mailing address
PO BOX 145, VERNER, WV 25650-0145
(304) 688-2373
(304) 250-3685
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN64382-NP-C
WV
Other
Enumeration date
07/07/2014
Last updated
02/21/2025
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