Jalyn Wall is a Nurse Practitioner in Lubbock, Texas. Jalyn Wall practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jalyn Wall is 1073579454. The last update date is 2021-09-28.
Jalyn Wall's current location address is 4004 82nd St Ste G, Lubbock, Texas. You can contact this provider via phone number 8067921050 and fax number 8067951965. The mailing address for Jalyn Wall is 4004 82nd St Ste G, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jalyn Wall |
|---|---|
| Address | 4004 82nd St Ste G, Lubbock, Texas |
| Phone Number | 8067921050 |
| Fax Number | 8067951965 |
| Sole Proprietor | N |
| Credentials | CFNP |
NPI Number Detail
| NPI Number | 1073579454 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2021-09-28 |
Provider Mailing Address Detail
| Address | 4004 82nd St Ste G |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794232065 |
| Phone Number | 8067921050 |
| Fax Number | 8067951965 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | AP108953 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 149472601 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jalyn Wall by the Centers for Medicare & Medicaid Services (CMS)?
The Jalyn Wall has been assigned the NPI (National Provider Identifier) 1073579454. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jalyn Wall?
The Jalyn Wall is physically situated at 4004 82Nd St Ste G, in the city of Lubbock, state of TX, with the postal code 794232065.
What is Jalyn Wall's area of expertise and its corresponding taxonomy classification?
The Jalyn Wall's field of specialization is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1073579454 assigned to Jalyn Wall?
The Jalyn Wall was issued its 1073579454 on 2006-04-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jalyn Wall, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jalyn Wall, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-09-28.