person
Jessica A. Wallace, APRN,PMHNP
Psychiatric/Mental Health Nurse Practitioner in Janesville, Wisconsin
NPI 1114579364

Jessica A. Wallace is a Psychiatric/Mental Health Nurse Practitioner based in Janesville, WI and is specialized in Psychiatric/Mental Health. Jessica A. Wallace practices in Janesville, WI and has the professional credentials of APRN,PMHNP. The NPI Number for Jessica A. Wallace is 1114579364 and holds a License No. 179176-130 (Wisconsin).

The current practice location address for Jessica A. Wallace is 903 Mineral Point Ave, Janesville, WI and can be reached out via phone at 608-756-5555 and via fax at 608-756-0174.

Location: 903 Mineral Point Ave, Janesville, WI, 53548-2970
person
Provider Profile Details
NPI Number
1114579364
Provider Name
Jessica A. Wallace
Credential
APRN,PMHNP
Provider Entity Type
Individual
Gender
Female
Address
903 Mineral Point Ave, Janesville, WI, 53548-2970
Phone Number
608-756-5555
Fax Number
608-756-0174
Provider Enumeration Date
07/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
903 Mineral Point Ave
City
State
Zip
53548-2970
Phone Number
608-756-5555
Fax Number
608-756-0174
person
Provider Business Mailing Address Details
Address
903 Mineral Point Ave
City
State
Zip
53548-2970
Phone Number
608-756-5555
Fax Number
608-756-0174
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
9344-33 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
179176-130 (Wisconsin)
Definition
Definition to come...
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