Mr. John Hugh Wallace JR.
Nurse Practitioner - Family Medicine
319 Springwood Dr Ne
Valdese
, North Carolina 28690-8710
Mr. John Hugh Wallace JR.
Nurse Practitioner - Family Medicine
319 Springwood Dr Ne
Valdese
, North Carolina 28690-8710
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mr. John Hugh Wallace JR.
- 319 Springwood Dr Ne
- Valdese, NC
- Zip : 28690-8710
- Phone :
Second Address
- Mr. John Hugh Wallace JR.
- 319 Springwood Dr Ne
- Valdese, NC
- Zip : 28690-8710
- Phone : (828) 879-8419
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What type of doctor is Mr. John Hugh Wallace JR.
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Is Mr. John Hugh Wallace JR. a sole practitioner?
Is Mr. John Hugh Wallace JR. accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 246400 | NC |
National Provider Identifier
| NPI | 1003296484 |
|---|---|
| Provider Name | Mr. John Hugh Wallace JR. |
| First Address | Valdese, NC 28690-8710 |
| Second Address | Valdese, NC 28690-8710 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2015 |
| Last Update Date | 28/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.