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MICHAEL WALLIS NP

NP

Nurse Practitioner

NPI: 1285050690IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

RN112816(LA)

Education

OTHER

Class of 2005

Contact & Hours

Via JEFFERSON DAVIS PHYSICIAN SERVICES, LLC · 2 locations total

Address
1634 ELTON RD
JENNINGS, LA 70546

Quick Facts

NPI
1285050690
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
21

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