Individual provider · Type 1 NPI
David Jermaine Wallace
Registered Nurse · Chula Vista, CA
Practice location
751 Medical Center Ct
Chula Vista, CA 91911-6617
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse Primary | 163W00000X | 852582 (CA) |
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 1891690574
David Jermaine Wallace's National Provider Identifier is 1891690574, issued on Oct 12, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Chula Vista, CA. The record was last updated on Oct 12, 2026.