MRS. Jordan Jehree Wallace, PA-C
NPI #1063291789 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1063291789
- Entity Type
- Individual
- Name
- MRS. Jordan Jehree Wallace, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 22, 2023
- Last Updated
- Sep 15, 2025
Practice Location
- Address
- 5620 W MARKHAM ST
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72205-3327
- Phone
- (501) 508-7163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Physician Assistant |
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