MOLLY WALLIS

DAYTONA BEACH, FL
NPI1053157123
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11033449)
Enumeration Date2024-07-08
Last Update Date2025-02-28
Business Address
MOLLY WALLIS APRN FNP-C
1667 N CLYDE MORRIS BLVD STE 2
DAYTONA BEACH, FL 32117-5500
Phone number: 386-274-1414
Mailing Address
MOLLY WALLIS APRN FNP-C
137 HEATHROW DR
DAYTONA BEACH, FL 32117-3831
Phone number: 386-795-2756