Patricia Wallace, ARNP-BC

NPI 1841353216 · on the registry since 2006

Practice

Address: 9471 Baymeadows Rd
Ste 303
Jacksonville, FL 32256
Phone: (904) 332-7431
Fax: (904) 332-7408
Organisation at this address: Nidra Llc
Granny Nannies
In-Home Care, Incl
Kbn Healthcare, Pllc
American In-Home Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 363LA2200X
363LA2200X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-10-25

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 Florida