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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 - Phone
- (800) 893-9698
Quick Facts
- NPI
- 1285050690
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 2
- Years in Practice
- 21
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