Wallis, Jenelle
Wallis, Jenelle is an individual health care provider with primary practice located at 10100 Kanis Rd , Little Rock AR 72205-6202. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Wallis, Jenelle can be contacted via phone (501) 255-6000.Contact Information
Primary practice address
10100 Kanis Rd
Little Rock AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 124001 | Arkansas |
Profile Details
| NPI number | 1386279032 |
|---|---|
| LBN Legal business name | Wallis, Jenelle |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2020 |
| Last updated | Mar 3rd, 2020 - 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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