person
Jennifer Katherine Wallace, PA-C
Medical Physician Assistant in Ventura, California
NPI 1578796926

Jennifer Katherine Wallace is a Medical Physician Assistant based in Ventura, CA and is specialized in Medical. Jennifer Katherine Wallace practices in Ventura, CA and has the professional credentials of PA-C. The NPI Number for Jennifer Katherine Wallace is 1578796926 and holds a License No. PA20925 (California).

The current practice location address for Jennifer Katherine Wallace is 2660 E Main St, Ventura, CA and can be reached out via phone at 805-643-7500 and via fax at 805-643-7501.

Location: 2660 E Main St, Ventura, CA, 93003-2893
person
Provider Profile Details
NPI Number
1578796926
Provider Name
Jennifer Katherine Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2660 E Main St, Ventura, CA, 93003-2893
Phone Number
805-643-7500
Fax Number
805-643-7501
Provider Enumeration Date
09/02/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
2826 01 CO PHYSICIAN ASSISTANT LICENSE
PA20925 01 CA CA PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
2660 E Main St
City
State
Zip
93003-2893
Phone Number
805-643-7500
Fax Number
805-643-7501
person
Provider Business Mailing Address Details
Address
2660 E Main St
City
State
Zip
93003-2893
Phone Number
805-643-7500
Fax Number
805-643-7501
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA20925 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.