Shannon Wallace

NURSE PRACTITIONER

1500 N Oakland Ave

Bolivar, MO 656133011

**NPI:** 1992699326

**Med School:** OTHER

**Experience:** 0 years

**Telehealth:** No

**Medicare Assignment:** May Accept

Practice Locations (1)

1500 N Oakland Ave
Bolivar, MO 656133011

Phone:

**Group ID:** | **Group Size:** members

CITIZENS MEMORIAL HOSPITAL Type: Hospital
1500 N OAKLAND
Phone: (417) 326-6000
Medicare CCN: 260195 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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