Most Relevant Information
Provider Data
| NPI Number: | 1003464934 |
| Provider Name: | JAMIE WALL NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | APN.0994953-NP |
Most Important Dates
| Enumeration Date: | 09/04/2019 |
| Last Updated: | 10/23/2024 |
Provider Practice Location
627 25 1/2 RD
GRAND JUNCTION
CO
815056401
Practice Location Phone/Fax
| Phone: | 9702423535 |
| Fax: |
Provider Mailing Location
PO BOX 10700
GRAND JUNCTION
CO
815025517
Provider Mailing Phone/Fax
| Phone: | 9702459370 |
| Fax: |