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1851313191
DONNA J WALLIS
JACKSON, TN
NPI
1851313191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: TN APN12122)
Enumeration Date
2006-07-24
Last Update Date
2023-10-25
Business Address
DONNA J WALLIS W.H.N.P.
145 INNOVATION DR
JACKSON, TN 38305-3019
Phone number: 731-422-0213
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Mailing Address
DONNA J WALLIS W.H.N.P.
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-423-5752
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