Jessica Faye Wallace in Washington - Medical
Jessica Faye Wallace - NPI 1306920780
Jessica Faye Wallace is a Medical in Washington, District Of Columbia. Jessica Faye Wallace practices all healthcare services and medical treatments related to Medical. The NPI Number for Jessica Faye Wallace is 1306920780. The last update date is 2021-03-26.
Jessica Faye Wallace's current location address is 3020 14th St Nw, Washington, District Of Columbia. You can contact this provider via phone number 2027454300 and fax number 2027452510. The mailing address for Jessica Faye Wallace is 3020 14th St Nw, Washington, District Of Columbia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Faye Wallace |
|---|---|
| Address | 3020 14th St Nw, Washington, District Of Columbia |
| Phone Number | 2027454300 |
| Fax Number | 2027452510 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1306920780 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2021-03-26 |
Provider Mailing Address Detail
| Address | 3020 14th St Nw |
|---|---|
| City | Washington |
| State | District Of Columbia (DC) |
| Post Code | 200096865 |
| Phone Number | 2027454300 |
| Fax Number | 2027452510 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 0010-00640 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identification code assigned to Jessica Faye Wallace by the Centers for Medicare & Medicaid Services?
The Jessica Faye Wallace has been issued the NPI (National Provider Identifier) 1306920780. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jessica Faye Wallace is located?
The Jessica Faye Wallace is situated at the following address: 3020 14Th St Nw, Washington, DC, 200096865.
What is the Jessica Faye Wallace's area of specialization and corresponding taxonomy classification?
The Jessica Faye Wallace's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1306920780 to Jessica Faye Wallace?
The Centers for Medicare & Medicaid Services assigned the 1306920780 to Jessica Faye Wallace on 2006-10-24.
When was the information regarding Jessica Faye Wallace, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jessica Faye Wallace, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-26.
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