License holder summary

Staci Lynne Wall is a Apn Prescriptive Authority licensed to practice in Indiana. The address on file for Staci Lynne Wall is Fort Wayne IN 46804. This nurse license is current. The license was granted 10/31/2011 and expired on 10/31/2015.

Indiana

State Board of Nursing

Staci Lynne Wall
Apn Prescriptive Authority
License number
71003769A
Date granted
10/31/2011
Date expires
10/31/2015
Class
Apn Prescriptive Authority
Status
Active
Address
Fort Wayne IN 46804
nursingindiana.org
ID 6413603
LAST UPDATED 2024-03-06 11:35:50 UTC

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