JAMI MICHELLE WALLACE

PEORIA, IL
NPI1144606195
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209012991)
Enumeration Date2015-07-31
Last Update Date2026-07-29
Business Address
JAMI MICHELLE WALLACE APRN
711 W JOHN H GWYNN JR AVE
PEORIA, IL 61605-2270
Phone number: 309-680-7600
Mailing Address
JAMI MICHELLE WALLACE APRN
2214 N UNIVERSITY ST
PEORIA, IL 61604-3221
Phone number: 309-680-7600
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