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1386279032
JENELLE WALLIS
LITTLE ROCK, AR
NPI
1386279032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AR 124001)
Enumeration Date
2020-03-03
Last Update Date
2020-03-03
Business Address
JENELLE WALLIS APRN
10100 KANIS RD
LITTLE ROCK, AR 72205-6202
Phone number: 501-255-6000
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Mailing Address
JENELLE WALLIS APRN
10100 KANIS RD
LITTLE ROCK, AR 72205-6202
Phone number: 501-255-6000
Copy
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