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 Date2025-04-23
Business Address
JAMI MICHELLE WALLACE APRN
3525 N UNIVERSITY ST
PEORIA, IL 61604-1324
Phone number: 309-886-9172
Mailing Address
JAMI MICHELLE WALLACE APRN
PO BOX 9727
PEORIA, IL 61612-9727
Phone number: 309-886-9172