Wallace, Jennifer Lea
Wallace, Jennifer Lea is an individual health care provider with primary practice located at 625 6Th Ave S Suite 385, Saint Petersburg FL 33701-4662. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wallace, Jennifer Lea can be contacted via phone (727) 553-7100.Contact Information
Primary practice address
625 6Th Ave S Suite 385
Saint Petersburg FL 33701-4662
Phone: (727) 553-7100
Fax: (727) 553-7198
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9105134 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA9105134 | Florida |
Profile Details
NPI number | 1700864493 |
---|---|
LBN Legal business name | Wallace, Jennifer Lea |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 4th, 2006 |
Last updated | Oct 8th, 2015 - about 10 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.
Popular Providers
-
Clowney, Whitney L.
601 7Th St S , St Petersburg FL 33701-4704 -
Rice, Bruce Elvon
5398 Park St N , St Petersburg FL 33709-1041 -
Delisle, Lori Michelle
West Florida Pain Management 603 7Th St S. Suite 320, Saint Petersburg FL 33701 -
Matelan, Mary
7855 38Th Ave N , Saint Petersburg FL 33710-1152 -
Mcgee, Tiffani Ondrea
560 Jackson St N Suite 100, St Petersburg FL 33705-1405 -
Bernstein, Joan W
4880 - 49Th Street North , St. Petersburg FL 33709 -
Potithavoranant, Katrina
620 10Th St N Ste 1E , Saint Petersburg FL 33705-1407 -
Hiecke, Jennifer Kay
1201 5Th Ave N Suite 202, St Petersburg FL 33705-1400