Individual provider · Type 1 NPI

Jessica Ann Wallette

Specialist · Devils Lake, ND

NPI number 1053002600 Active

Practice location

200 Highway 2 W
Devils Lake, ND 58301-3532

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1053002600

Jessica Ann Wallette's National Provider Identifier is 1053002600, issued on May 16, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Devils Lake, ND. The record was last updated on Aug 28, 2023.