Search › Arkansas › 363AM0700X
Jordan Wallace, PA-C
NPI 1063291789 · on the registry since 2023
Practice
- Address
- 5620 W Markham St
Little Rock, AR 72205 - Phone
- (501) 508-7163
- Fax
- (501) 203-9850
- Organisation at this address
- American Oncology Partners, P.A.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1300 Centerview Dr, Little Rock, AR
- 3 Medical Park Dr Ste 202, Benton, AR
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas