Jasmia N Wallace (NPI# 1932473386, PAC ID# 4486810769) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1932473386 |
| PAC ID by PECOS | 4486810769 |
| Professional Enrollment ID | I20150421001908 |
| Full Name | Jasmia N Wallace |
| Organization Legal Name | SAINT FRANCIS MEDICAL PARTNERS EAST, LLC |
| Address |
452 Perkins Ext Memphis TN 38117-3808 |
| Phone Number | 9018882646 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9335320001 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440183 | ST FRANCIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 452 Perkins Ext, Memphis, TN 38117-3808 | 9018882646 | SAINT FRANCIS MEDICAL PARTNERS EAST, LLC |
| Organization Legal Name | SAINT FRANCIS MEDICAL PARTNERS EAST, LLC |
| Physicians | 1 |
| Street Address |
452 PERKINS EXT |
| City | MEMPHIS |
| State | TN |
| Zip | 38117-3808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Engbretson | Family Medicine | Saint Francis Physician Network, LLC | 452 Perkins Ext, Memphis, TN 38117-3808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohammed Moinuddin | Internal Medicine | Jnt Medical Lc | 721 W Brookhaven /circle, Memphis, TN 38117 |
| Erica R. Grant Ervin | Nurse Practitioner | Cgand T | 721 W Brokhaven Cir, Memphis, TN 38117 |
| Hillary H Hunt | Internal Medicine | Baptist Minor Medical Centers Inc | 7424 Us Hwy 64, Suite 111, Memphis, TN 38117 |
| John C Wood | Internal Medicine | Jnt Medical Lc | 721 W Brookhaven /circle, Memphis, TN 38117 |
| Christopher J Cummins | Family Medicine | Jnt Medical Lc | 721 W Brookhaven /circle, Memphis, TN 38117 |
| April R Epps-carter | Nurse Practitioner | Cgand T | 721 W Brokhaven Cir, Memphis, TN 38117 |
| John W Fowler Jr. | Internal Medicine | 184 Colonial Rd, Memphis, TN 38117-3206 | |
| Warren S Johnson | Optometry | Professional Eyecare Optical | 428 Perkins Extd, Memphis, TN 38117-3802 |
| Do Nguyen | Optometry | Professional Eyecare Optical | 428 Perkins Extd, Memphis, TN 38117-3802 |
| Gary A Goode | Chiropractic | 4968 William Arnold Rd, Memphis, TN 38117-4238 | |
| Find all physicians in zip 38117 | |||
| City | MEMPHIS |
| Zip Code | 38117 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MEMPHIS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jasmia N Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.