JENA WALLACE

LENOIR, NC
NPI1699122820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  253837)
Enumeration Date2016-05-17
Last Update Date2021-03-17
Business Address
JENA WALLACE
322 MULBERRY ST SW STE A
LENOIR, NC 28645-5703
Phone number: 828-757-6460
Mailing Address
JENA WALLACE
1853 18TH STREET CT NE
HICKORY, NC 28601-0533
Phone number: 860-334-2475
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