Wallace, Lisa Lynn

Wallace, Lisa Lynn is an individual health care provider with primary practice located at 800 Prudential Dr , Jacksonville FL 32207-8211. She recently has only one registered license in Nursing Service Providers / Neonatal Intensive Care, which is considered as her primary health care specialty. Wallace, Lisa Lynn can be contacted via phone (904) 202-8000.

Contact Information

Primary practice address
800 Prudential Dr Jacksonville FL 32207-8211
Phone: (904) 202-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X RN089537 Georgia

Profile Details

NPI number 1396403135
LBN Legal business name Wallace, Lisa Lynn
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2021
Last updated Nov 29th, 2021 - 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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