Ms. Jessica Elizabeth Wallace
NURSE PRACTITIONER | Nurse Practitioner | 28+ years Exp
2200 N Sepulveda Blvd, Manhattan Beach
California, 90266-2910
310-802-0200
Ms. Jessica Elizabeth Wallace is a Manhattan Beach, California based nurse practitioner with 28 years of experience in Nurse Practitioner. 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 for Nurse Practitioner 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 with specialization in 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 Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NURSE PRACTITIONER |
| Experience: | 28+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1997 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2200 N Sepulveda Blvd, Manhattan Beach,
California, 90266-2910 |
| Phone: | 310-802-0200 |
| Fax: | 310-794-9035 |
Professional Identification Codes:
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 | Nurse Practitioner | 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:
Patients can read all the reviews posted for Ms. Jessica Elizabeth Wallace below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Ms. Jessica Elizabeth Wallace. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.