Wallace, Karina Jean

Wallace, Karina Jean is an individual health care provider with primary practice located at 101 Potters Ln , Clarksville IN 47129-1017. 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. Wallace, Karina Jean can be contacted via phone (443) 383-9300.

Contact Information

Primary practice address
101 Potters Ln Clarksville IN 47129-1017
Phone: (443) 383-9300
Fax: (855) 866-8710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71012683A Indiana

Profile Details

NPI number 1962136895
LBN Legal business name Wallace, Karina Jean
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2022
Last updated Jul 15th, 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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