Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER KATHERINE WALLACE, PA-C
ActiveJENNIFER KATHERINE WALLACE, PA-C is a Medical Physician Assistant healthcare provider located in VENTURA, California. NPI 1578796926 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · VENTURA, CA
Registration Details
- NPI Number
- 1578796926
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2009 (16.968489121686 yrs)
- Last Updated
- Sep 8, 2010
- License
-
PA20925 (CA)
Practice Information
- Address
-
2660 E MAIN STSUITE 204VENTURA, CA, 930032893Browse CA providers · Browse ZIP 93003
- Phone
- 8056437500
- Fax
- 8056437501
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in VENTURA, CA
| Name | Credential | NPI |
|---|---|---|
| JEANNE GILBERT | P.A. | 1548217292 |
| CYNTHIA COGGINS | P.A. | 1346271277 |
| DR. JONATHAN SALIRE | P.A. | 1659303394 |
| DR. JAMES NOUD | P.A. | 1164454807 |
| ELMIRA MIRA SHISHIM | PA | 1174777536 |
| VIVIAN THANH NGUYEN | P.A. | 1457787467 |
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.