JENNIFER WALLACE, PAC

PAC

Medical Physician Assistant

NPI: 1700864493Individual

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA9105134(FL)

Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

PA9105134(FL)

Contact & Hours

Address: 625 6TH AVE S, SUITE 385
SAINT PETERSBURG, FL 33701
Phone: (727) 553-7100

Quick Facts

NPI: 1700864493
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 2
Locations: 1

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