Wallace, Jessica Lynne
Wallace, Jessica Lynne is an individual health care provider with primary practice located at 1200 Pleasant St , Des Moines IA 50309-1453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Wallace, Jessica Lynne can be contacted via phone (515) 241-5437.Contact Information
Primary practice address
1200 Pleasant St
Des Moines IA 50309-1453
Phone: (515) 241-5437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | K155915 | Iowa |
Profile Details
| NPI number | 1215581293 |
|---|---|
| LBN Legal business name | Wallace, Jessica Lynne |
| Credentials | NNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2019 |
| Last updated | Jul 29th, 2019 - about 6 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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