JENNIFER WALLACE, PA
Physician Assistant - Medical
Active
Individual
NPI: 1548283336
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 1992 (MA) |
Frequently Asked Questions
NPI 1548283336 is the National Provider Identifier for JENNIFER WALLACE, PA, a Physician Assistant - Medical provider located in New Bedford, MA. This NPI was enumerated on July 25, 2006.
JENNIFER WALLACE, PA practices at 101 PAGE ST, New Bedford, MA 02740.
Quick Facts
- NPI
- 1548283336
- Type
- Individual
- Enumerated
- Jul 25, 2006
- Last Updated
- Jul 8, 2007
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