MRS. Jill Marie Wallace, N.P. is a family nurse practitioner in Charlotte, NC. MRS. Jill Marie Wallace, N.P. NPI is 1598121220. 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:
16406 BIRCHLEY CIR
CHARLOTTE, NC
ZIP 28213-314
Phone: (704) 258-4240
The NPI 1598121220 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/11/2016 and was last updated on 9/2/2016.