Wallen, Jessica

Wallen, Jessica is an sole proprietor health care provider with primary practice located at 466 Burnley Rd , Scottsville KY 42164-6355. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wallen, Jessica can be contacted via phone (270) 618-3700.

Contact Information

Primary practice address
466 Burnley Rd Scottsville KY 42164-6355
Phone: (270) 618-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 1137080 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016353 Kentucky

Profile Details

NPI number 1427670827
LBN Legal business name Wallen, Jessica
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2020
Last updated Dec 28th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427670827 NPPES
Kentucky Other 1137080 RN LICENSE
Kentucky MEDICAID 3016353 RN LICENSE

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