| Jennifer Laird Wallace, | |
|
4468 Duff Rd, Livingston, TX 77351-5627 | |
| (936) 215-1467 | |
| Not Available |
| Full Name | Jennifer Laird Wallace |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 4468 Duff Rd, Livingston, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497249882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 330403 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Laird Wallace, 4468 Duff Rd, Livingston, TX 77351-5627 Ph: () - | Jennifer Laird Wallace, 4468 Duff Rd, Livingston, TX 77351-5627 Ph: (936) 215-1467 |
Jodi Jenkins, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 117 Lillian Dr, Livingston, TX 77351 Phone: 936-433-6896 | |
Shadow Scott, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5238 Old Israel Rd, Livingston, TX 77351 Phone: 936-252-0951 | |
Ann Marie Virtanen, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 142 Rainbow Dr # 4200, Livingston, TX 77399 Phone: 906-281-4369 |