IndividualActive
Jeanne Wallace, APRN
NPI 1194607853 · Gerontology Clinical Nurse Specialist · Oro Valley, AZ
Provider details
- NPI number
- 1194607853
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 322628 (AZ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
360 E Four Horses Cir
Oro Valley, AZ 85704-7209
Phone: (716) 307-5818
Approximate (ZIP-level) locationGet directions
Mailing address
360 E Four Horses Cir
Oro Valley, AZ 85704-7209
Registry dates
- Enumerated
- 2025-07-23
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.