Jessica A. Wallace, APRN, PMHNP
NPI #1114579364 in Janesville, Wisconsin
Provider Information
- NPI Number
- 1114579364
- Entity Type
- Individual
- Name
- Jessica A. Wallace, APRN, PMHNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Credential
- APRN, PMHNP
- Enumeration Date
- Jul 9, 2019
- Last Updated
- Jul 9, 2019
Practice Location
- Address
- 903 MINERAL POINT AVE
- City
- Janesville
- State
- Wisconsin
- ZIP Code
- 53548-2970
- Phone
- (608) 756-5555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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