MRS. Jessica Nicole Wallace, RN
NPI #1689846164 in Middleport, Ohio
Provider Information
- NPI Number
- 1689846164
- Entity Type
- Individual
- Name
- MRS. Jessica Nicole Wallace, RN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Credential
- RN
- Enumeration Date
- Mar 25, 2008
- Last Updated
- Mar 25, 2008
Practice Location
- Address
- 655 FRONT ST
- City
- Middleport
- State
- Ohio
- ZIP Code
- 45760
- Phone
- (740) 416-5643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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