JENNIFER LYNN WALLER

TAMPA, FL
NPI1821728395
Professional NameJENNIFER LYNN WALLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11017307)
Enumeration Date2022-06-16
Last Update Date2024-02-12
Business Address
JENNIFER LYNN WALLER APRN
14502 N DALE MABRY HWY STE 200
TAMPA, FL 33618-2040
Phone number: 800-640-3451
Mailing Address
JENNIFER LYNN WALLER APRN
PO BOX 914
LEHI, UT 84043-1189
Phone number: 800-640-3451