Search › North Carolina › 363LF0000X
Jill Wallace, N.P
NPI 1598121220 · on the registry since 2016 · sole proprietor
Practice
- Address
- 16406 Birchley Cir
Charlotte, NC 28213 - Phone
- (704) 258-4240
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- SC, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-09-02
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 North Carolina