JORDAN JEHREE WALLACE

LITTLE ROCK, AR
NPI1063291789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AR  PA-1208)
Additional Taxonomies363A00000X Physician Assistant
(Licence: AR  PA-1208)
Enumeration Date2023-09-22
Last Update Date2025-09-15
Business Address
Mrs. JORDAN JEHREE WALLACE PA-C
5620 W MARKHAM ST
LITTLE ROCK, AR 72205-3327
Phone number: 501-508-7163
Mailing Address
Mrs. JORDAN JEHREE WALLACE PA-C
PO BOX 749495
ATLANTA, GA 30374-9495
Phone number: 855-963-2100