NPI 1568590396
Jessica Rene Wallis
Practice location
- Address
- 805 N Charlotte St, Dickson, TN 37055-1008
- Phone
- (615) 441-6074
- Mailing address
- 65 Ridge Rd APT. B-15, Waverly, TN 37185-2000
Registered specialties
Chore Provider
Primary
Registry record
- NPI
- 1568590396
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Mar 2007
- Record last updated
- 8 Jul 2007
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.