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Ms. Jessica Elizabeth Wallace, NURSEPRACTITIONER
Family Nurse Practitioner in Manhattan Beach, California
NPI 1215981170

Jessica Elizabeth Wallace is a Family Nurse Practitioner based in Los Angeles, CA and is specialized in Family. Jessica Elizabeth Wallace practices in Manhattan Beach, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jessica Elizabeth Wallace is 1215981170 and holds a License No. 547962 (California).

The current practice location address for Jessica Elizabeth Wallace is 2200 N Sepulveda Blvd, Manhattan Beach, CA and can be reached out via phone at 310-802-0200 and via fax at 310-794-9035.

Location: 2200 N Sepulveda Blvd, Manhattan Beach, CA, 90045-5631
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215981170
Provider Name
Jessica Elizabeth Wallace
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
2200 N Sepulveda Blvd, Manhattan Beach, CA, 90045-5631
Phone Number
310-802-0200
Fax Number
310-794-9035
Provider Enumeration Date
05/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RN547962 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
2200 N Sepulveda Blvd
City
Manhattan Beach
State
California
Zip
90266-2910
Phone Number
310-802-0200
Fax Number
310-794-9035
person
Provider Business Mailing Address Details
Address
2200 N Sepulveda Blvd
City
Manhattan Beach
State
California
Zip
90266-2910
Phone Number
310-802-0200
Fax Number
310-794-9035
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
-
Taxonomy
163W00000X
License No.
10241 (California)
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
547962 (California)
Definition
Definition to come...
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