Wall, Jessica Jeanne

Wall, Jessica Jeanne is an sole proprietor health care provider with primary practice located at 51 N 39Th St Myrin - M01, Philadelphia PA 19104-2640. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Wall, Jessica Jeanne can be contacted via phone (215) 662-8236.

Contact Information

Primary practice address
51 N 39Th St Myrin - M01 Philadelphia PA 19104-2640
Phone: (215) 662-8236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A124288 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD454944 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X MT207883 Pennsylvania

Profile Details

NPI number 1518266717
LBN Legal business name Wall, Jessica Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2011
Last updated Jul 21st, 2015 - about 9 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.

Request for update

Popular Providers