person
Jennifer Jane Wallace, PA
Medical Physician Assistant in New Bedford, Massachusetts
NPI 1548283336

Jennifer Jane Wallace is a Medical Physician Assistant based in New Bedford, MA and is specialized in Medical. Jennifer Jane Wallace practices in New Bedford, MA and has the professional credentials of PA. The NPI Number for Jennifer Jane Wallace is 1548283336 and holds a License No. 1992 (Massachusetts).

The current practice location address for Jennifer Jane Wallace is 101 Page St, New Bedford, MA and can be reached out via phone at 508-992-7994.

Location: 101 Page St, New Bedford, MA, 02740-3464
person
Provider Profile Details
NPI Number
1548283336
Provider Name
Jennifer Jane Wallace
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
101 Page St, New Bedford, MA, 02740-3464
Phone Number
508-992-7994
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Page St
City
State
Zip
02740-3464
Phone Number
508-992-7994
Fax Number
person
Provider Business Mailing Address Details
Address
101 Page St
City
State
Zip
02740-3464
Phone Number
508-992-7994
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1992 (Massachusetts)
Definition
Definition to come...
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