Jelisa Wallace, CRNP is a family nurse practitioner in Huntsville, AL. Jelisa Wallace, CRNP NPI is 1649889478. 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:
101 SIVLEY RD SW
HUNTSVILLE, AL
ZIP 35801-421
Phone: (256) 265-1000
The NPI 1649889478 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 7/28/2020 and was last updated on 3/12/2024.