Juliann Maria Wallace, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN143698 Issued in AZ

Practice address

840 E 22ND St
Yuma, AZ 85365-2425

Phone

(928) 782-9241

NPI assigned

Feb 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518005248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11391 S VIEWPOINTE WAY",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853676811",
            "telephone_number": "928-342-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E 22ND ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652425",
            "telephone_number": "928-782-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLACE",
        "first_name": "JULIANN",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN143698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Walgreen Co
• Mindy Walker, WHNP
• Robert Vananthony Walker
• Tiffany Walker, PMHNP-C
• Melissa Marie Wallace
• Stephen A Wallace, MD
• Tor Erik William Wallstrom, M.D.
• Walmart Inc.
• Walmart Inc.

• School Registered Nurse in Yuma, AZ
• Providers in Yuma, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.