Whalio Doctors

NPI 1003246257

Joyce Wallace, CRNAARNP

Practitioner Certified Registered Nurse Anesthetist Jacksonville, FL

Practice location

Address
2165 Herschel St, Jacksonville, FL 32204-3819
Phone
(904) 387-4030
Mailing address
916 Alameda Ln, Saint Johns, FL 32259-6903

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 9309567 (FL)
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X Licence 9309567 (FL)

Registry record

NPI
1003246257
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Nov 2013
Record last updated
20 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.