Individual provider · Type 1 NPI

Susan Jean Wallace

Registered Nurse · Pine Ridge, SD

NPI number 1194985887 Active

Practice location

E Hwy 18
Pine Ridge, SD 57770-1201

Fax (605) 867-3263

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	26784 (NE)

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…

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About NPI 1194985887

Susan Jean Wallace's National Provider Identifier is 1194985887, issued on Jun 16, 2008. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Pine Ridge, SD. The record was last updated on Jun 16, 2008.