Wallace, Jennifer L

Wallace, Jennifer L is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wallace, Jennifer L can be contacted via phone (617) 665-1560.

Contact Information

Primary practice address
1493 Cambridge St Cambridge MA 02139-1047
Fax: (617) 665-1843
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN233633 Massachusetts

Profile Details

NPI number 1417185513
LBN Legal business name Wallace, Jennifer L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2009
Last updated Jun 26th, 2009 - about 16 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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