Joseph Jelks Wallace
Joseph Jelks Wallace is a Family Nurse Practitioner in Punta Gorda, Florida. Licensed in Florida. Registered with an NPI since 2018.
- Licensed in
- FL
- In the registry since
- 2018
Practice location Address checks out
23361 Ferndale AvePunta Gorda, FL 33980-4814
Phone: (239) 281-8121
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Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 866612 (FL) |
|---|
Record details
| NPI number | 1891275095 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 16, 2018 |
| Last updated in NPPES | August 16, 2018 |
| Mailing address | 23361 Ferndale Ave, Punta Gorda, FL 33980-4814 |
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