Individual provider · Type 1 NPI

Jacque Wallis, RN

Registered Nurse · Fort Collins, CO

NPI number 1114546413 Active

Practice location

1217 Riverside Ave
Fort Collins, CO 80524-3218

Call (970) 494-4200 Map

Mailing address

4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X88881 (CO)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

103 other providers at this address

Other registered nurse providers in Fort Collins

See all in Fort Collins →

About NPI 1114546413

Jacque Wallis, RN's National Provider Identifier is 1114546413, issued on Apr 16, 2020. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fort Collins, CO. The record was last updated on Apr 16, 2020.