MR. JASON WALLACE

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1235755638

Practice Address

2214 CHESAPEAKE CV
Jonesboro, AR 72404

Phone: (615) 618-6200

Specialties

Specialty Code Primary License
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 125806 (AR)

Frequently Asked Questions

NPI 1235755638 is the National Provider Identifier for MR. JASON WALLACE, a Nurse Practitioner - Psychiatric/Mental Health provider located in Jonesboro, AR. This NPI was enumerated on June 22, 2020.
MR. JASON WALLACE practices at 2214 CHESAPEAKE CV, Jonesboro, AR 72404.

Quick Facts

NPI
1235755638
Type
Individual
Enumerated
Jun 22, 2020
Last Updated
May 14, 2025

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