Individual provider · Type 1 NPI

Donna J. Wallis, W.H.N.P.

Women's Health Nurse Practitioner · Jackson, TN

NPI number 1851313191 Active

Practice location

145 Innovation Dr
Jackson, TN 38305-3019

Fax (731) 660-8301

Mailing address

PO Box 400
Jackson, TN 38302-0400

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102XAPN12122 (TN)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1851313191

Donna J. Wallis, W.H.N.P.'s National Provider Identifier is 1851313191, issued on Jul 24, 2006. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Jackson, TN. The record was last updated on Oct 25, 2023.