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JESSICA WALLACE, NURSE PRACTITIONER
NURSE PRACTITIONER
Registered Nurse
NPI: 1215981170IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered NursePrimary
Registered Nurse
Code: 163W00000X
547962(CA)
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
10241(CA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 1997
Contact & Hours
Via practice · 2 locations total
- Address
- 2200 N SEPULVEDA BLVD
MANHATTAN BEACH, CA 90266 - Phone
- (310) 802-0200
Quick Facts
- NPI
- 1215981170
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 2
- Years in Practice
- 29
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