Jamie Wallace, NP

NPI #1104608595 in Oswego, New York

Provider Information

NPI Number
1104608595
Entity Type
Individual
Name
Jamie Wallace, NP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
NP
Enumeration Date
Oct 19, 2023
Last Updated
Jun 21, 2024

Practice Location

Address
110 W UTICA ST
City
Oswego
ZIP Code
13126-3047
Phone
(315) 668-1202

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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