Jessica Wallace in Boulder - Registered Nurse
Jessica Wallace - NPI 1184820565
Jessica Wallace is a Registered Nurse in Boulder, Colorado. Jessica Wallace practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Jessica Wallace is 1184820565. The last update date is 2008-05-02.
Jessica Wallace's current location address is 580 Mohawk Dr, Boulder, Colorado. You can contact this provider via phone number 3035545185. The mailing address for Jessica Wallace is 580 Mohawk Dr, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Wallace |
|---|---|
| Address | 580 Mohawk Dr, Boulder, Colorado |
| Phone Number | 3035545185 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1184820565 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2008-05-02 |
Provider Mailing Address Detail
| Address | 580 Mohawk Dr |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803033712 |
| Phone Number | 3035545185 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | 185784 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Jessica Wallace by the Centers for Medicare & Medicaid Services?
The Jessica Wallace has been issued the NPI (National Provider Identifier) 1184820565. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jessica Wallace is geographically located?
The Jessica Wallace is physically situated at the following location: 580 Mohawk Dr, Boulder, CO, 803033712.
What is the Jessica Wallace's area of specialization and corresponding taxonomy classification?
The Jessica Wallace's specialty field is Registered Nurse, and it falls under the taxonomy code 163W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1184820565 to Jessica Wallace?
The Jessica Wallace received its 1184820565 assignment from the Centers for Medicare & Medicaid Services on 2007-06-22.
As of what date was the information regarding Jessica Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-02.