Jacob Wallace, A.P.R.N
NPI #1639915911 in Logan, Utah
Provider Information
- NPI Number
- 1639915911
- Entity Type
- Individual
- Name
- Jacob Wallace, A.P.R.N
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- A.P.R.N
- Enumeration Date
- Jul 5, 2024
- Last Updated
- Aug 23, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner - Family — Family |
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