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PHILLIP WALLACE, APRN
APRN
Nurse Practitioner
NPI: 1821647447IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
APRN11003275(FL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 1325 SAN MARCO BLVD STE 300
JACKSONVILLE, FL 32207 - Phone
- (904) 253-6910
Quick Facts
- NPI
- 1821647447
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 7
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