JENNIFER WALLACE, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1972791747
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | PA9104356 (FL) |
Frequently Asked Questions
NPI 1972791747 is the National Provider Identifier for JENNIFER WALLACE, PA-C, a Physician Assistant - Surgical provider located in St Petersburg, FL. This NPI was enumerated on October 5, 2007.
JENNIFER WALLACE, PA-C practices at 620 10TH ST N STE 1D, St Petersburg, FL 33705.
Quick Facts
- NPI
- 1972791747
- Type
- Individual
- Enumerated
- Oct 5, 2007
- Last Updated
- Mar 14, 2025
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