Individual provider · Type 1 NPI

Jamie Wallace

Certified Registered Nurse Anesthetist · East Norriton, PA

NPI number 1285406215 Active

Practice location

559 W Germantown Pike
East Norriton, PA 19403-4250

Fax (484) 622-1269

Mailing address

101 E Olney Ave Ste 400
Philadelphia, PA 19120-2470

Other practice locations

  • 544 E Front St, Danville, PA 17821-2002 · (201) 961-4998

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200XRN676582 (PA)
Certified Registered Nurse Anesthetist Primary 367500000XRN676582 (PA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1285406215

Jamie Wallace's National Provider Identifier is 1285406215, issued on Oct 24, 2023. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in East Norriton, PA. The record was last updated on Jun 11, 2025.