Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joanne M Wallis, PNP

Individual provider Pediatric Nurse Practitioner · NPI 1932370756

Joanne M Wallis, PNP is a Pediatric Nurse Practitioner in Vancouver, Washington. Works from 2 locations. Licensed in Oregon and Washington.

Licensed in
OR, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PNP — Pediatric Nurse Practitioner
A nurse practitioner specialising in children.

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Practice location Address checks out

19005 SE 34th St
Vancouver, WA 98683-1450
Phone: (360) 726-6724
Fax: (360) 726-6718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12710 Se Division St, Portland, OR 97236-3134 — (503) 988-3601

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP30006123 (WA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 091000332N2-PNP-PP (OR)

Record details

NPI number1932370756
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP
Sole proprietorNo
NPI enumeratedMarch 19, 2008
Last updated in NPPESMarch 17, 2018

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