Individual provider · Type 1 NPI

Jennifer Katherine Wallace

Student in an Organized Health Care Education/Training Program · Binghamton, NY

NPI number 1053196337 Active

Practice location

4400 Vestal Pkwy E
Binghamton, NY 13902-4601

Call (607) 777-2000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053196337

Jennifer Katherine Wallace's National Provider Identifier is 1053196337, issued on Aug 25, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Binghamton, NY. The record was last updated on Aug 25, 2023.