Search › Maryland › 363L00000X
Jonelle Wallace, APRN, NP-C
NPI 1417642364 · on the registry since 2023
Practice
- Address
- 10175 Little Patuxent Pkwy
Columbia, MD 21044 - Phone
- (800) 328-5979
- Organisation at this address
- Optum Care Services Company
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 45
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-04-06
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 Maryland