JOAN WALLACE NP NPI 1972696938

NPI Information

NPI: 1972696938
Provider Name: JOAN WALLACE, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
297 PROMENADE ST
PROVIDENCE, RI
ZIP 02908
Phone: (401) 490-6464
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Joan Wallace, NP is an obstetrics and gynecology nurse practitioner in Providence, RI. Joan Wallace, NP NPI is 1972696938. 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:

297 PROMENADE ST
PROVIDENCE, RI
ZIP 02908-720
Phone: (401) 490-6464

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	NPP20834	RHODE ISLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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