Wallace, Jessica Renee

Wallace, Jessica Renee is an individual health care provider with primary practice located at 1821 E. High St. , Springfield OH 45505. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wallace, Jessica Renee can be contacted via phone (937) 323-7340.

Contact Information

Primary practice address
1821 E. High St. Springfield OH 45505
Fax: (937) 323-3363
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 021995 Ohio

Profile Details

NPI number 1871089680
LBN Legal business name Wallace, Jessica Renee
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2018
Last updated Jan 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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