Jessica E. Wallace, NURSE PRACTITIONER
Registered Nurse · Manhattan Beach, CA
UnclaimedNURSE PRACTITIONERNPI 1215981170
- Primary taxonomy
- 163W00000X
- Enumerated
- 2006-05-22
- Practice location
- Manhattan Beach, CA
- Last NPPES update
- 2019-12-19
State licenses
- CA · Registered nurse · NPPES self-reportedListed on NPI record
- CA · Registered nurse · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.