Jaclyn Renee Wallace, NNP-BC is a neonatal and critical care nurse practitioner in Atlanta, GA. Jaclyn Renee Wallace, NNP-BC NPI is 1326572801. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1711 TULLIE CIR NE
ATLANTA, GA
ZIP 30329-305
Phone: (404) 785-5413
Fax: (404) 785-6233
The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.