JESSICA WALLACE

Registered Nurse

Active Individual
NPI: 1184820565

Practice Address

580 MOHAWK DR
Boulder, CO 80303

Phone: (303) 554-5185

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X No 41618 (CO)
Registered Nurse 163W00000X Yes 185784 (CO)

Frequently Asked Questions

NPI 1184820565 is the National Provider Identifier for JESSICA WALLACE, a Registered Nurse provider located in Boulder, CO. This NPI was enumerated on June 22, 2007.
JESSICA WALLACE practices at 580 MOHAWK DR, Boulder, CO 80303.

Quick Facts

NPI
1184820565
Type
Individual
Enumerated
Jun 22, 2007
Last Updated
May 2, 2008

Nearby Providers