Joanne M Wallis is a Vancouver, Washington based nurse practitioner who is specialized as Pediatrics nurse. Active license number of Joanne M Wallis is AP30006123 for Primary Care in Washington. Her current practice location is 19005 Se 34th St, Vancouver. Patients can reach her at 360-726-6724 or can fax her at 360-726-6718. Joanne M Wallis is PNP with specialization in Pediatrics and her NPI number (Unique professional ID assigned by NPPES) is 1932370756. Joanne M Wallis specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Joanne M Wallis speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Joanne M Wallis
Specialization:
Pediatrics Nurse Practitioner (PNP)
Gender:
Female
Credentials:
PNP
Practice Address:
19005 Se 34th St, Vancouver, Washington, 98683-1450
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1932370756
NPI Enumeration Date:
19 Mar, 2008
NPI Last Update On:
17 Mar, 2018
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Joanne M Wallis are as mentioned below.
License Number
Specialization
State
Status
AP30006123
Primary Care
Washington
Primary
091000332N2-PNP-PP
Pediatrics
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Joanne M Wallis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
022959
Medicaid
Oregon
22959
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Joanne M Wallis 426 Sw Stark St Fl 9, Portland, Oregon
Zip:
97204-2347
Phone Number:
503-988-5958
Fax Number:
503-988-4093
Patients can reach Joanne M Wallis at 19005 Se 34th St, Vancouver, Washington or can call to book an appointment on 360-726-6724.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.