Search › West Virginia › 3747P1801X
Jill Wallace
NPI 1609667047 · on the registry since 2025
Practice
- Address
- 58 Halterman Rd Lot 11
New Creek, WV 26743 - Phone
- (814) 699-0621
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia