Individual provider · Type 1 NPI

Joan Wallace, NP

Obstetrics & Gynecology Nurse Practitioner · Providence, RI

NPI number 1972696938 Active

Practice location

297 Promenade St
Providence, RI 02908-5720

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Nurse Practitioner Primary 363LX0001XNPP20834 (RI)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1972696938

Joan Wallace, NP's National Provider Identifier is 1972696938, issued on Oct 2, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Providence, RI. The record was last updated on Oct 11, 2007.