Wallace, Stephanie R
Wallace, Stephanie R is an individual health care provider with primary practice located at 1230 Baxter St , Athens GA 30606-3712. 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, Stephanie R can be contacted via phone (706) 389-2273.Contact Information
Primary practice address
1230 Baxter St
Athens GA 30606-3712
Phone: (706) 389-2273
Fax: (706) 389-2298
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN136273 | Georgia |
Profile Details
NPI number | 1124087879 |
---|---|
LBN Legal business name | Wallace, Stephanie R |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 21st, 2006 |
Last updated | Jan 15th, 2024 - about last year |
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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