Wall, Jalyn

Wall, Jalyn is an individual health care provider with primary practice located at 4004 82Nd St Ste G , Lubbock TX 79423-2065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wall, Jalyn can be contacted via phone (806) 792-1050.

Contact Information

Primary practice address
4004 82Nd St Ste G Lubbock TX 79423-2065
Phone: (806) 792-1050
Fax: (806) 795-1965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP108953 Texas

Profile Details

NPI number 1073579454
LBN Legal business name Wall, Jalyn
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Sep 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073579454 NPPES
Texas MEDICAID 149472601

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