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1821728395
JENNIFER LYNN WALLER
TAMPA, FL
NPI
1821728395
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Professional Name
JENNIFER LYNN WALLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 11017307)
Enumeration Date
2022-06-16
Last Update Date
2024-02-12
Business Address
JENNIFER LYNN WALLER APRN
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618-2040
Phone number: 800-640-3451
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Mailing Address
JENNIFER LYNN WALLER APRN
PO BOX 914
LEHI, UT 84043-1189
Phone number: 800-640-3451
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