NURSE PRACTITIONER | Nurse Practitioner | 27+ years Exp
Accepts Medicare Nurse Practitioner in Manhattan Beach, California.
Ms. Jessica Elizabeth Wallace is a Manhattan Beach, California based nurse practitioner with 27 years of experience in . She completed her graduation in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Jessica Elizabeth Wallace is 547962 in California. Her current practice location is 2200 N Sepulveda Blvd, Manhattan Beach. Patients can reach her at 310-802-0200 or can fax her at 310-794-9035. Ms. Jessica Elizabeth Wallace is NURSE PRACTITIONER and her NPI number (Unique professional ID assigned by NPPES) is 1215981170. Ms. Jessica Elizabeth Wallace has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Jessica Elizabeth Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Jessica Elizabeth Wallace
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NURSE PRACTITIONER
Experience:
27+ years
Medical School Attended:
Other
Graduation Year:
1997
Accepts Medicare Assignment:
Yes
Practice Address:
2200 N Sepulveda Blvd, Manhattan Beach, California, 90266-2910
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7719083500
Enrollment ID:
I20070511000356
NPI Number:
1215981170
NPI Enumeration Date:
22 May, 2006
NPI Last Update On:
19 Dec, 2019
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Jessica Elizabeth Wallace are as mentioned below.
License Number
Specialization
State
Status
547962
California
Primary
10241
Family
California
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(050262)
Los angeles, CA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ms. Jessica Elizabeth Wallace is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Martin Luther King Jr Community Medical Group (8628359502)
151
Ucla Radiology Medical Group (8921902065)
168
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Jessica Elizabeth Wallace such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
RN547962
Other
California
MEDICAL
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Jessica Elizabeth Wallace 5767 W Century Blvd Ste 400, Los Angeles, California
Zip:
90045-5631
Patients can reach Ms. Jessica Elizabeth Wallace at 2200 N Sepulveda Blvd, Manhattan Beach, California or can call to book an appointment on 310-802-0200.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.