Jean A. Wallace, NP Valid NPI

Individual provider · Neonatal Nurse Practitioner · Manhasset, NY

NPI

1144480088

Type

Individual (Type 1)

Primary specialty

Neonatal Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LN0000X

License number

F350149 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2008-06-13

Last updated

2008-06-13