| Jacob Wallis, | |
|
6515 Poplar Ave Ste 106, Memphis, TN 38119-4878 | |
| (901) 426-1090 | |
| (901) 426-1091 |
| Full Name | Jacob Wallis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6515 Poplar Ave Ste 106, Memphis, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568118172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 4879 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Wallis, 206 Oxford Rd, New Albany, MS 38652-3115 Ph: (662) 534-2227 | Jacob Wallis, 6515 Poplar Ave Ste 106, Memphis, TN 38119-4878 Ph: (901) 426-1090 |
Tyler Cunningham, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 650 E Parkway S, Memphis, TN 38104 Phone: 901-321-4122 | |
Ms. Meredith Elizabeth Gates, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 877 Jefferson Ave, Memphis, TN 38103 Phone: 901-545-7100 | |
James O. Bridges, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3000 Getwell Rd, Memphis, TN 38118 Phone: 901-369-8600 Fax: 901-369-8620 | |
Jessica Maselli, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 650 E Parkway S, Memphis, TN 38104 Phone: 615-482-8741 | |
Hanah Rose Cates, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5959 Park Ave, Memphis, TN 38119 Phone: 901-765-1000 | |
Mr. Michael Francis Mitchell Jr., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 795 Ridge Lake Blvd Ste 103, Memphis, TN 38120 Phone: 901-255-6532 | |
Jeovanni Barnes, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1030 Jefferson Ave, Memphis, TN 38104 Phone: 901-523-8990 |