Jessica Elizabeth Wallace in Manhattan Beach - Registered Nurse
Jessica Elizabeth Wallace - NPI 1215981170
Jessica Elizabeth Wallace is a Registered Nurse in Manhattan Beach, California. Jessica Elizabeth Wallace practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Jessica Elizabeth Wallace is 1215981170. The last update date is 2019-12-19.
Jessica Elizabeth Wallace's current location address is 2200 N Sepulveda Blvd, Manhattan Beach, California. You can contact this provider via phone number 3108020200 and fax number 3107949035. The mailing address for Jessica Elizabeth Wallace is 2200 N Sepulveda Blvd, Manhattan Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Elizabeth Wallace |
|---|---|
| Address | 2200 N Sepulveda Blvd, Manhattan Beach, California |
| Phone Number | 3108020200 |
| Fax Number | 3107949035 |
| Sole Proprietor | N |
| Credentials | NURSE PRAC |
NPI Number Detail
| NPI Number | 1215981170 |
|---|---|
| Provider Enumeration Date | 2006-05-22 |
| Last Updated Date | 2019-12-19 |
Provider Mailing Address Detail
| Address | 2200 N Sepulveda Blvd |
|---|---|
| City | Manhattan Beach |
| State | California (CA) |
| Post Code | 902662910 |
| Phone Number | 3108020200 |
| Fax Number | 3107949035 |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 547962 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RN547962 | CA | MEDICAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jessica Elizabeth Wallace by the Centers for Medicare & Medicaid Services?
The Jessica Elizabeth Wallace has been issued the NPI (National Provider Identifier) 1215981170 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jessica Elizabeth Wallace is located?
The Jessica Elizabeth Wallace is situated at the following address: 2200 N Sepulveda Blvd, Manhattan Beach, CA, 902662910.
What is Jessica Elizabeth Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jessica Elizabeth Wallace's area of specialization is Registered Nurse, and the corresponding taxonomy code that categorizes this field of practice is 163W00000X.
When did the Jessica Elizabeth Wallace receive its 1215981170?
The Jessica Elizabeth Wallace was issued its 1215981170 on 2006-05-22, which is the date when the organization was assigned this unique identifier.
When was the Jessica Elizabeth Wallace's information last updated?
The Jessica Elizabeth Wallace's information was last updated on 2019-12-19.