Provider Profile

Jacob Wallis

Unclaimed Profile

About Jacob Wallis

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Education & Training

School Other Graduated: 2021

Specialty

PHYSICIAN ASSISTANT (Primary)

Credentials & Licensing

TN license4879
NPI1568118172
NPI issued02/23/2022

Source: NPPES NPI Registry

Common questions

What does Jacob Wallis specialize in?

Jacob Wallis is a physician assistant in Fayetteville, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jacob Wallis located?

Jacob Wallis is listed at 104 N Park Dr, Fayetteville, GA 30214. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jacob Wallis's phone number?

The number on file is (470) 944-5290. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Jacob Wallis's NPI number?

Jacob Wallis's National Provider Identifier is 1568118172. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jacob Wallis train?

Jacob Wallis attended Other, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How long has Jacob Wallis been practicing?

Jacob Wallis has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Has Jacob Wallis confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jacob Wallis. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.