Jessica Lynn Wallace, LPN
NPI #1427713288 in Burlington, Vermont
Provider Information
- NPI Number
- 1427713288
- Entity Type
- Individual
- Name
- Jessica Lynn Wallace, LPN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 5, 2021
- Last Updated
- Nov 5, 2021
Practice Location
- Address
- 65 CAMBRIAN WAY APT 110
- City
- Burlington
- State
- Vermont
- ZIP Code
- 05401-2970
- Phone
- (802) 503-8051
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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