MIKAYLA WALLACE

Physician Assistant

Active Individual
NPI: 1962162875

Practice Address

355 GRAND ST
Jersey City, NJ 07302

Phone: (201) 915-2000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1962162875 is the National Provider Identifier for MIKAYLA WALLACE, a Physician Assistant provider located in Jersey City, NJ. This NPI was enumerated on December 20, 2021.
MIKAYLA WALLACE practices at 355 GRAND ST, Jersey City, NJ 07302.

Quick Facts

NPI
1962162875
Type
Individual
Enumerated
Dec 20, 2021
Last Updated
Jul 30, 2024

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