Jamie Lyn Wallace
Jamie Lyn Wallace is a Registered Nurse in Stoughton, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2019
Practice location Address checks out
1648 Erin HlStoughton, WI 53589-4853
Phone: (608) 205-6288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 132676 (WI) |
|---|
Record details
| NPI number | 1881159242 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 9, 2019 |
| Last updated in NPPES | February 9, 2019 |
| Mailing address | 1648 Erin Hl, Stoughton, WI 53589-4853 |
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