Jaclyn Renee Wallace, NNP-BC
Jaclyn Renee Wallace, NNP-BC is a Critical Care Neonatal Nurse Practitioner in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.
- Licensed in
- GA
- In the registry since
- 2017
Practice location Address checks out
1711 Tullie Cir NEAtlanta, GA 30329-2305
Phone: (404) 785-5413
Fax: (404) 785-6233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Critical Care Neonatal Nurse Practitioner (primary) | Taxonomy 363LN0005X · Licence RN211895 (GA) |
|---|
Record details
| NPI number | 1326572801 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | April 12, 2017 |
| Last updated in NPPES | April 12, 2017 |
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Tonya R Selfridge, RN, NNP-BC
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