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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER JANE WALLACE, PA

Active

JENNIFER JANE WALLACE, PA is a Medical Physician Assistant healthcare provider located in NEW BEDFORD, Massachusetts. NPI 1548283336 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NEW BEDFORD, MA

Registration Details

NPI Number
1548283336
Provider Type
Individual
Gender
Female
NPI Issued
Jul 25, 2006 (20.048235232319 yrs)
Last Updated
Jul 8, 2007
License
1992 (MA)

Practice Information

Address
101 PAGE ST
NEW BEDFORD, MA, 027403464
Browse MA providers · Browse ZIP 02740
Phone
5089927994
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in NEW BEDFORD, MA

Name Credential NPI
WILLIAM L THORNSON PA-C 1750369278
CHRISTINA COLEMAN PA-C 1376507749
KEVIN KING 1467708503
STEPHANIE MARIE MASSA P.A. 1922441575
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.