Individual provider · Type 1 NPI
Jessica Renee Wallace, APRN-CNP
Nurse Practitioner · Springfield, OH
Practice location
1821 E. High St.
Springfield, OH 45505
Fax (937) 323-3363
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 021995 (OH) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1871089680
Jessica Renee Wallace, APRN-CNP's National Provider Identifier is 1871089680, issued on Jul 4, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, OH. The record was last updated on Jan 3, 2019.