Individual provider · Type 1 NPI

Jessica Faye Wallace, PA-C

Medical Physician Assistant · Washington, DC

NPI number 1306920780 Active

Practice location

3020 14th St NW
Washington, DC 20009-6865

Call (202) 745-4300 Map

Fax (202) 745-2510

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-00640 (NC)

Medical Physician Assistant: Definition to come...

86 other providers at this address

Other medical physician assistant providers in Washington

See all in Washington →

About NPI 1306920780

Jessica Faye Wallace, PA-C's National Provider Identifier is 1306920780, issued on Oct 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Washington, DC. The record was last updated on Mar 26, 2021.