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Jessica Wallen, APRN
Family Nurse Practitioner in Scottsville, Kentucky
NPI 1427670827

Jessica Wallen is a Family Nurse Practitioner based in Scottsville, KY and is specialized in Family. Jessica Wallen practices in Scottsville, KY and has the professional credentials of APRN. The NPI Number for Jessica Wallen is 1427670827 and holds a License No. 1137080 (Kentucky).

The current practice location address for Jessica Wallen is 466 Burnley Rd, Scottsville, KY and can be reached out via phone at 270-618-3700.

Location: 466 Burnley Rd, Scottsville, KY, 42164-6355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427670827
Provider Name
Jessica Wallen
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
466 Burnley Rd, Scottsville, KY, 42164-6355
Phone Number
270-618-3700
Fax Number
Provider Enumeration Date
05/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1137080 01 KY RN LICENSE
3016353 05 KY
institution
Provider Business Practice Location Address Details
Address
466 Burnley Rd
City
Scottsville
State
Kentucky
Zip
42164-6355
Phone Number
270-618-3700
Fax Number
person
Provider Business Mailing Address Details
Address
466 Burnley Rd
City
Scottsville
State
Kentucky
Zip
42164-6355
Phone Number
270-618-3700
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Medical-Surgical
Taxonomy
163WM0705X
License No.
3016353 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1137080 (Kentucky)
Definition
Definition to come...
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