Dr JENNIFER A WALLER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2016.
SANFORD MEDICAL CENTER
1508 W 22 ST
101 SANFORD SURGICAL ASSOCIATES
SIOUX FALLS
SD
571051514
Tel: 6053283840
| Npi | 1295271690 |
| Pac Id | 9335426956 |
| Professional Enrollment Id | I20170509002348 |
| Last Name | WALLER |
| First Name | JENNIFER |
| Middle Name | A |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | SANFORD MEDICAL CENTER |
| Group Practice Pac Id | 8325950215 |
| Number Of Group Practice Members | 478 |
| Line 1 Street Address | 1508 W 22 ST |
| Line 2 Street Address | 101 SANFORD SURGICAL ASSOCIATES |
| Marker Of Address Line 2 Suppression | |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 571051514 |
| Phone Number | 6053283840 |
| Hospital Affiliation Ccn 1 | 430027 |
| Hospital Affiliation Lbn 1 | SANFORD USD MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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