JORDAN JEHREE WALLACE

LITTLE ROCK, AR
NPI1063291789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AR  PA-1208)
Enumeration Date2023-09-22
Last Update Date2023-11-02
Business Address
Mrs. JORDAN JEHREE WALLACE PA-C
4301 W MARKHAM ST # 721
LITTLE ROCK, AR 72205-7101
Phone number: 501-526-6062
Mailing Address
Mrs. JORDAN JEHREE WALLACE PA-C
4301 W MARKHAM ST # 783
LITTLE ROCK, AR 72205-7101
Phone number: 501-686-8000
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