Wallace, Kathryn Jansen

Wallace, Kathryn Jansen is an individual health care provider with primary practice located at 14330 Oakhill Park Ln Ste 200 , Huntersville NC 28078-3407. 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, Kathryn Jansen can be contacted via phone (704) 316-4830.

Contact Information

Primary practice address
14330 Oakhill Park Ln Ste 200 Huntersville NC 28078-3407
Phone: (704) 316-4830
Fax: (704) 316-4831
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5005839 North Carolina

Profile Details

NPI number 1184976953
LBN Legal business name Wallace, Kathryn Jansen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2012
Last updated May 30th, 2019 - about 5 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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