Joanne Wallace, RN

Registered Nurse · Shepherd, MI

Individual Active NPI

NPI number 1144633991

Practice location

121 Dearing Dr
Shepherd, MI 48883-8000
Phone
(989) 430-5772

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NPI record

NPI
1144633991
Entity type
Individual (Type 1)
Enumeration date
June 10, 2014
Last updated
June 10, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 4704266337 MI

About Joanne Wallace

Joanne Wallace, RN is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 121 Dearing Dr, Shepherd, MI 48883-8000. The NPI number 1144633991 was assigned on June 10, 2014 and the record was last updated on June 10, 2014.

Joanne Wallace lists a license in the registry: #4704266337 (MI) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Joanne Wallace, RN?

The NPI number is 1144633991.

What is the phone number of Joanne Wallace?

The phone number listed for the practice location is (989) 430-5772.

Where is Joanne Wallace located?

121 Dearing Dr, Shepherd, MI 48883-8000.

What is the taxonomy code for Joanne Wallace?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.