JONELLE WALLACE

COLUMBIA, MD
NPI1417642364
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CT  11314)
Enumeration Date2023-04-06
Last Update Date2023-04-06
Business Address
JONELLE WALLACE APRN, NP-C
10175 LITTLE PATUXENT PKWY
COLUMBIA, MD 21044-2655
Phone number: 800-328-5979
Mailing Address
JONELLE WALLACE APRN, NP-C
PO BOX 1459
MINNEAPOLIS, MN 55440-1459
Phone number:
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