Provider Profile

Jessica E. Wallace, NURSE PRACTITIONER

Unclaimed Profile

About Jessica Wallace

Jessica E. Wallace, NURSE PRACTITIONER is a nurse practitioner practicing in Manhattan Beach, CA. Jessica is also listed as specializing in registered nurse and nurse practitioner — family. This provider record is associated with NPI 1215981170.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 1997

Specialty

Nurse Practitioner (Primary)
Nurse Practitioner — Family (Additional)

Credentials & Licensing

CA · Registered NurseBoard of Registered Nursing
No. 547962CurrentExpires Aug 2028Since 1998
CA licenceAs reported to the NPI registry
No. 10241As reported
NPINational Provider Identifier
1215981170Issued 2006

Snapshot · verify with the board ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Jessica E. Wallace?

Jessica E. Wallace is a nurse practitioner in Manhattan Beach, CA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Jessica E. Wallace's address?

Jessica E. Wallace is listed at 2200 N Sepulveda Blvd, Manhattan Beach, CA 90266. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Jessica E. Wallace?

The number on file is (310) 802-0200. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jessica E. Wallace's NPI number?

Jessica E. Wallace's National Provider Identifier is 1215981170. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jessica E. Wallace train?

Jessica E. Wallace attended Other, graduating in 1997. This comes from the CMS National Downloadable File.

CMS public data

How long has Jessica E. Wallace been practicing?

Jessica E. Wallace has 29 years experience. Calculated from a graduation year of 1997, reported in the CMS National Downloadable File.

CMS public data

Has Jessica E. Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jessica E. Wallace. If this is you, claiming it is free.

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