Jimmie Lou Wallace in North Little Rock - Nurse Anesthetist, Certified Registered
Jimmie Lou Wallace - NPI 1326129958
Jimmie Lou Wallace is a Nurse Anesthetist, Certified Registered in North Little Rock, Arkansas. Jimmie Lou Wallace practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Jimmie Lou Wallace is 1326129958. The last update date is 2007-07-08.
Jimmie Lou Wallace's current location address is 5201 N Shore Dr, North Little Rock, Arkansas. You can contact this provider via phone number 5017488000 and fax number 5017488159. The mailing address for Jimmie Lou Wallace is 5201 N Shore Dr, North Little Rock, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmie Lou Wallace |
|---|---|
| Address | 5201 N Shore Dr, North Little Rock, Arkansas |
| Phone Number | 5017488000 |
| Fax Number | 5017488159 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1326129958 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5201 N Shore Dr |
|---|---|
| City | North Little Rock |
| State | Arkansas (AR) |
| Post Code | 721185312 |
| Phone Number | 5017488000 |
| Fax Number | 5017488159 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | CO1312 CRNA |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jimmie Lou Wallace by the Centers for Medicare & Medicaid Services?
The Jimmie Lou Wallace has been issued the NPI (National Provider Identifier) 1326129958, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jimmie Lou Wallace is physically located?
The Jimmie Lou Wallace is situated at the following address: 5201 N Shore Dr, North Little Rock, AR 721185312.
What is Jimmie Lou Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jimmie Lou Wallace is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
When was the Jimmie Lou Wallace's 1326129958 issued?
The Jimmie Lou Wallace's 1326129958 was issued on 2006-10-18.
When was the Jimmie Lou Wallace's information last updated?
The Jimmie Lou Wallace's information was last updated on 2007-07-08.
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