STEPHANIE WALLACE

GRETNA, LA
NPI1811715493
Former NameSTEPHANIE LAMBERT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  237784)
Enumeration Date2024-10-01
Last Update Date2025-01-17
Business Address
Mrs. STEPHANIE WALLACE FNP-C
1581 CAROL SUE AVE SUITE D
GRETNA, LA 70056
Phone number: 844-677-2968
Mailing Address
Mrs. STEPHANIE WALLACE FNP-C
1581 CAROL SUE AVE SUITE D
GRETNA, LA 70056
Phone number: 844-677-2968