MS. Jennifer Wallace

NPI #1356968440 in Seattle, Washington

Provider Information

NPI Number: 1356968440
Entity Type: Individual
Name: MS. Jennifer Wallace
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician/Technologist
Enumeration Date: Jul 6, 2020
Last Updated: Jun 24, 2025

Practice Location

Address: 3123 FAIRVIEW AVE E STE 200
City: Seattle
State: Washington
ZIP Code: 98102-3051
Phone: (480) 685-7530

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist	156F00000X	Primary
Driver	172A00000X
Technician, Pathology - Phlebotomy — Phlebotomy	246RP1900X
Technician, Other	247200000X
Home Health	251E00000X
Nursing Care	251J00000X
Clinical Medical Laboratory	291U00000X
Home Health Aide	374U00000X

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