Wallace, Jordyn
Wallace, Jordyn is an individual health care provider with primary practice located at 700 S Henderson Rd Ste 198 , King Of Prussia PA 19406-3530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Jordyn can be contacted via phone (267) 699-3900.Contact Information
Primary practice address
700 S Henderson Rd Ste 198
King Of Prussia PA 19406-3530
Phone: (267) 699-3900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP024856 | Pennsylvania |
Profile Details
NPI number | 1538810734 |
---|---|
LBN Legal business name | Wallace, Jordyn |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2022 |
Last updated | Jan 10th, 2022 - about 3 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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