Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JESSICA ELIZABETH WALLACE, NURSE PRACTITIONER
ActiveMS. JESSICA ELIZABETH WALLACE, NURSE PRACTITIONER is a Registered Nurse healthcare provider located in MANHATTAN BEACH, California. NPI 1215981170 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · MANHATTAN BEACH, CA
Registration Details
- NPI Number
- 1215981170
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2006 (20.217391671663 yrs)
- Last Updated
- Dec 19, 2019
- Licenses
-
547962 (CA)10241 (CA)
Practice Information
- Address
-
2200 N SEPULVEDA BLVDMANHATTAN BEACH, CA, 902662910Browse CA providers · Browse ZIP 90266
- Phone
- 3108020200
- Fax
- 3107949035
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Family Nurse Practitioner
Other Registered Nurse Providers in MANHATTAN BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| JEFFREY MARCHESANI | — | 1063873040 |
| ANDREW LITAK | — | 1376405621 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.