Mr. Jerrol B Wallace, CRNA
Mr. Jerrol B Wallace, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Baltimore, Maryland. Graduated from Duke University School of Medicine in 2014, 12 years ago. Practices with Androscoggin Valley Hospital Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Maryland and Virginia.
- Years since qualifying
- 12
- Trained at
- Duke University School of Medicine
- Licensed in
- MD, VA
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
4940 Eastern AveBaltimore, MD 21224-2735
Phone: (410) 550-0100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence R246272 (MD) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 0024167758 (VA) |
Record details
| NPI number | 1316084932 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNA |
| Sole proprietor | No |
| NPI enumerated | January 31, 2007 |
| Last updated in NPPES | February 16, 2021 |
| Certification date | February 16, 2021 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Androscoggin Valley Hospital Inc — 64 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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