Mr. Jason David Wallace
Mr. Jason David Wallace is a Nurse Practitioner in Jonesboro, Arkansas. Qualified in 2019, 7 years ago. Practices with St Bernards Hospital Inc, a 185-clinician group and accepts Medicare assignment. Licensed in Arkansas.
- Years since qualifying
- 7
- Licensed in
- AR
- In the registry since
- 2020
Practice location Address checks out
2214 Chesapeake CvJonesboro, AR 72404-7104
Phone: (615) 618-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 125806 (AR) |
|---|
Record details
| NPI number | 1235755638 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 22, 2020 |
| Last updated in NPPES | May 14, 2025 |
| Certification date | May 14, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | St Bernards Hospital Inc. — 185 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Jonesboro
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Mr. Dustin Wayne Timmons, APRN
1815 Pleasant Grove Rd, Jonesboro, AR 72401-7870 · (870) 933-6886
-
Marcie L Tuggle
2707 Browns Ln, Jonesboro, AR 72401-7213 · (870) 972-4050
-
Barbara Turner
2200 E Matthews Ave, Jonesboro, AR 72401-4347 · (870) 972-1268
-
Benjamin B Ulibarri, PMHNP
1150 E Matthews Ave Ste A, Jonesboro, AR 72401-4346 · (870) 243-0424