DONNA J WALLIS

JACKSON, TN
NPI1851313191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: TN  APN12122)
Enumeration Date2006-07-24
Last Update Date2023-10-25
Business Address
DONNA J WALLIS W.H.N.P.
145 INNOVATION DR
JACKSON, TN 38305-3019
Phone number: 731-422-0213
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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