Individual
DR. JESSICA LEE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., BCPS
Contact information
Practice address
1310 24TH AVE S, PHARMACY SERVICE (119), NASHVILLE, TN 37212-2637
(615) 966-7194
Mailing address
1 UNIVERSITY PARK DR, NASHVILLE, TN 37204-3956
(615) 966-7194
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
34465
TN
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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