QUINCY JADE WALLIS

OTTAWA, KS
NPI1750090429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: KS  81556)
Enumeration Date2022-11-21
Last Update Date2024-04-30
Business Address
Mrs. QUINCY JADE WALLIS FNP-C
901 S MAIN ST
OTTAWA, KS 66067-3315
Phone number: 857-229-8882
Mailing Address
Mrs. QUINCY JADE WALLIS FNP-C
901 S MAIN ST
OTTAWA, KS 66067-3315
Phone number: 857-229-8882