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Search › Pennsylvania › 367500000X

Jamie Wallace

NPI 1285406215 · on the registry since 2023 · sole proprietor

Practice

Address
559 W Germantown Pike
East Norriton, PA 19403
Phone
(484) 622-1248
Fax
(484) 622-1269
Organisation at this address
Fornance Physician Services
Fornance Physician Services
Fornance Physician Services, Inc
Fornance Physician Services, Inc
Fornance Physician Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
85

Additional practice sites

  • 544 E Front St, Danville, PA

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
163WC0200X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-06-11

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 Pennsylvania