Individual provider · Type 1 NPI
Jennifer Lea Wallace, PAC
Medical Physician Assistant · St. Petersburg, FL
NPI number
1700864493
Active
Practice location
625 6th Ave S, Suite 385
St. Petersburg, FL 33701-4662
Fax (727) 553-7198
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA9105134 (FL) |
| Surgical Physician Assistant | 363AS0400X | PA9105134 (FL) |
Medical Physician Assistant: Definition to come...
25 other providers at this address
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- All Children's Perinatology SpecialistsMaternal & Fetal Medicine Physician St. Petersburg, FL NPI 1114228590
- Pediatric Neurology AssociatesNeurology with Special Qualifications in Child Neurology Physician St. Petersburg, FL NPI 1275568859
- Skyway Surgery Center, LLCAmbulatory Surgical Clinic/Center St. Petersburg, FL NPI 1366935074
- Trina E Espinola MD PAPlastic Surgery within the Head & Neck (Otolaryngology) Physician St. Petersburg, FL NPI 1598851826
- Tru Well, PLLCInterventional Pain Medicine Physician St. Petersburg, FL NPI 1750716619
- Womens Care Florida LLPObstetrics & Gynecology Physician St. Petersburg, FL NPI 1043456940
- Ashley C. Baker, CNMAdvanced Practice Midwife St. Petersburg, FL NPI 1629503065
- Bradley Harmon Sipe, MDMaternal & Fetal Medicine Physician St. Petersburg, FL NPI 1003233578
- Burnes Lynn Feaster Iii, MDPulmonary Disease Physician St. Petersburg, FL NPI 1083688899
- Caleb Sparkman, AU.D.Audiologist St. Petersburg, FL NPI 1902235203
- Jennifer Ayscue, MDColon & Rectal Surgery Physician St. Petersburg, FL NPI 1265411227
Other medical physician assistant providers in St. Petersburg
- Daniela Quintana, PA-CMedical Physician Assistant St. Petersburg, FL NPI 1013572536
- Whitney L. Clowney, PA-CMedical Physician Assistant St. Petersburg, FL NPI 1023004090
- Nichol Raulerson, P.A.Medical Physician Assistant St. Petersburg, FL NPI 1053491753
- Casey T. Woods, P.A.-CMedical Physician Assistant St. Petersburg, FL NPI 1063738557
- Leah Jacqueline Stubblefield, PA-CMedical Physician Assistant St. Petersburg, FL NPI 1073773206
- Jennifer Kay Hiecke, PA-CMedical Physician Assistant St. Petersburg, FL NPI 1083611735
- Cheryl M. Gerke, PA-CMedical Physician Assistant St. Petersburg, FL NPI 1114115714
- Joan W. Bernstein, PAMedical Physician Assistant St. Petersburg, FL NPI 1114982113
About NPI 1700864493
Jennifer Lea Wallace, PAC's National Provider Identifier is 1700864493, issued on Jan 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 8, 2015.