Individual provider · Type 1 NPI

Jamie Wallace, NP

Family Nurse Practitioner · Oswego, NY

NPI number 1104608595 Active

Practice location

110 W Utica St
Oswego, NY 13126-3047

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X353514 (NY)

Family Nurse Practitioner: Definition to come...

12 other providers at this address

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About NPI 1104608595

Jamie Wallace, NP's National Provider Identifier is 1104608595, issued on Oct 19, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Oswego, NY. The record was last updated on Jun 21, 2024.