NPI 1003246257
Joyce Wallace, CRNAARNP
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
Registered Nurse
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.