Jamie Lyn Wallace
NPI #1881159242 in Stoughton, Wisconsin
Provider Information
- NPI Number
- 1881159242
- Entity Type
- Individual
- Name
- Jamie Lyn Wallace
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Feb 9, 2019
- Last Updated
- Feb 9, 2019
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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