Mr. Jason David Wallace is a Jonesboro, Arkansas based nurse practitioner with 6 years of experience in Psych/Mental Health. He completed his graduation in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jason David Wallace is 125806 for Psych/Mental Health in Arkansas. His current practice location is 2616 Gallaway Cv, Jonesboro. Patients can reach him at 615-618-6200 with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1235755638. Mr. Jason David Wallace provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Jason David Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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.
PAC ID:
2062836596
Enrollment ID:
I20200716003457
NPI Number:
1235755638
NPI Enumeration Date:
22 Jun, 2020
NPI Last Update On:
22 Jun, 2020
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jason David Wallace are as mentioned below.
License Number
Specialization
State
Status
125806
Psych/Mental Health
Arkansas
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Jason David Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Delta Behavioral Health, Llc (6406280007)
5
Renew Mental Health And Wellness Llc (0345574737)
9
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Jason David Wallace 2616 Gallaway Cv, Jonesboro, Arkansas
Zip:
72404-7827
Phone Number:
615-618-6200
Patients can reach Mr. Jason David Wallace at 2616 Gallaway Cv, Jonesboro, Arkansas or can call to book an appointment on 615-618-6200.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.