Individual provider · Type 1 NPI
Jessica Wallace
Registered Nurse · Boulder, CO
Practice location
580 Mohawk Dr
Boulder, CO 80303-3712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse | 164W00000X | 41618 (CO) |
| Registered Nurse Primary | 163W00000X | 185784 (CO) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1184820565
Jessica Wallace's National Provider Identifier is 1184820565, issued on Jun 22, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Boulder, CO. The record was last updated on May 2, 2008.