National Provider Identifier
Barbara Jean Wallace, LPN
Barbara Jean Wallace, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 732-6992.
Profile Overview
- NPI
- 1063617231
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- June 18, 2007
- Last Updated
- July 08, 2007
Practice Location
- 707 Roe Ave
- Elmira, NY 14905-1642
Phone: (607) 732-6992
Mailing Address
- 1008 Hall St
- Elmira, NY 14901-1522
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1063617231
- Entity Type
- Individual
- Last Name
- Wallace
- First Name
- Barbara
- Middle Name
- Jean
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 1008 Hall St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-1522
- Mailing Country
- US
- Mailing Phone
- (607) 734-8513
- Practice Street Address
- 707 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1642
- Practice Country
- US
- Practice Phone
- (607) 732-6992
- Enumeration Date
- June 18, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02680899 (NY, Provider Number)