Individual
MS. JASMIA NYREE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
210 ATHENS WAY STE 200, NASHVILLE, TN 37228-1308
(615) 270-3505
Mailing address
210 ATHENS WAY STE 200, NASHVILLE, TN 37228-1308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
10011868
OR
363LF0000X
Family Nurse Practitioner
1100729
TX
363LF0000X
Family Nurse Practitioner
11335
MN
363LF0000X
Family Nurse Practitioner
16419
TN
363LF0000X
Family Nurse Practitioner
209027385
IL
363LF0000X
Family Nurse Practitioner
3019056
KY
363LF0000X
Family Nurse Practitioner
353211
NY
363LF0000X
Family Nurse Practitioner
4704401026
MI
363LF0000X
Family Nurse Practitioner
95025072
CA
363LF0000X
Family Nurse Practitioner
AC005558
MD
363LF0000X
Family Nurse Practitioner
Primary
APRN11002307
FL
363LF0000X
Family Nurse Practitioner
C-APN.0100636-C-NP
CO
363LF0000X
Family Nurse Practitioner
LG-0012297
DE
363LF0000X
Family Nurse Practitioner
RN217995
GA
363LF0000X
Family Nurse Practitioner
SP028130
PA
Other
Enumeration date
03/02/2012
Last updated
08/01/2024
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