JESSICA NICOLE WALLACE (NPI# 1316391055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316391055 |
| Entity Type | Individual |
| Full Name | JESSICA NICOLE WALLACE |
| Credential | NP-C |
| Practice Address |
457 E Madison St Houston MS 38851-2308 |
| Mailing Address |
2760 Guntharp Rd S Fulton MS 38843-9583 |
| Practice Telephone | 6625675005 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 901492 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1821517210 | Jessica Wallace | Behavioral Analyst | 43835 Timber Sq Unit 203, Leesburg, VA 20176-3432 | 2017-09-17 |
| 1548639560 | Jessica Ann Wallace | Physician Assistant | 1890 Us Highway 131 Unit 4, Petoskey, MI 49770-8344 | 2015-09-21 |
| 1285031682 | Jessica Wallace | Speech-Language Pathologist | 2900 Knox School Rd, Alliance, OH 44601-9021 | 2014-12-01 |
| 1073940888 | Jessica Wallace | Marriage & Family Therapist | 15611 Pomerado Rd Ste 535, Poway, CA 92064-2437 | 2013-10-11 |
| 1245577907 | Jessica Wallace | Pharmacist | 6175 Hickory Flat Hwy, Suite 140, Canton, GA 30115-7207 | 2013-01-14 |
| 1659637478 | Jessica Lynn Wallace | Community/Behavioral Health | 26652 Muse Road, Muse, OK 74949 | 2012-04-05 |
| 1669751418 | Jessica Leigh Wallace | Physical Therapist | 224 Old River Rd, Bluffton, SC 29909-3952 | 2011-08-11 |
| 1689846164 | Jessica Nicole Wallace | Registered Nurse | 655 Front St, Middleport, OH 45760 | 2008-03-25 |
| 1710507371 | Jessica M Wallace | Nurse Anesthetist, Certified Registered | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-04-23 |
| Street Address |
457 E MADISON ST |
| City | HOUSTON |
| State | MS |
| Zip Code | 38851-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689067233 | Urgent and Family Care of Houston | Nurse Practitioner | 457 E Madison St, Houston, MS 38851-2308 | 2015-03-06 |
| 1962870253 | Jena Wade Anthony | Nurse Practitioner | 457 E Madison St, Houston, MS 38851-2308 | 2015-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144742073 | Natalie Mitchell | Social Worker | 102 Okolona Cutoff Rd, Houston, MS 38851 | 2017-07-12 |
| 1073041042 | Jan Sherlene Paden | Nurse Practitioner | 8 East Madison St, Houston, MS 38851 | 2017-06-02 |
| 1851772818 | Shell Denece Williams-moore | Religious Nonmedical Practitioner | 901 North Jackson Street, Houston, MS 38851 | 2015-06-16 |
| 1740385491 | Southern Health Corp of Houston Inc | Skilled Nursing Facility | 1000 East Madison, Houston, MS 38851 | 2006-09-14 |
| 1730281809 | Teena Freeman Horn | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-09-01 |
| 1891776530 | Kunthavai S. Patel | Specialist | 208 Country Club Road, Houston, MS 38851 | 2005-11-09 |
| 1255467726 | North Mississippi Foot Specialists PC | Durable Medical Equipment & Medical Supplies | Hwy 8 East, Houston, MS 38851 | 2007-02-26 |
| 1689753485 | Southern Health Corp of Houston Inc | Psychiatric Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1306925102 | Southern Health Corp of Houston Inc | Medicare Defined Swing Bed Unit | Highway 8 East, Houston, MS 38851 | 2006-11-03 |
| 1134212038 | Chickasaw Dental Group L. L. C. | Dentist | 327 N Jackson St, Houston, MS 38851 | 2006-10-02 |
| Find all providers in zip 38851 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696246 | Ev Collaborative House Calls LLC | Nurse Practitioner | 16325 Westheimer Rd, Houston, TX 77082-1233 | 2020-10-16 |
| 1386257137 | Joshua John Ramos | Nurse Practitioner | 6565 Fannin St Ste Alkek754, Houston, TX 77030-2703 | 2020-08-30 |
| 1902419880 | Andrea Randazzo Kummer | Nurse Practitioner | 3351 Clear Lake City Blvd, Houston, TX 77059-2506 | 2020-08-28 |
| 1225647985 | Madison Dale Larose | Nurse Practitioner | 2047 Westcreek Ln Unit 409, Houston, TX 77027-3748 | 2020-07-29 |
| 1609499516 | Glow Maven | Nurse Practitioner | 4544 Post Oak Place Dr Ste 254, Houston, TX 77027-3104 | 2020-05-26 |
| 1457971889 | Threase Y Mitchell | Nurse Practitioner | 6806 Oakmantle Dr, Houston, TX 77085-1336 | 2020-04-27 |
| 1023646718 | Tracy Ann Strown | Nurse Practitioner | 11626 Tc Jester Rd, Suite 500, Houston, TX 77067 | 2020-03-30 |
| 1649804550 | Jessica Schneider Vanover | Nurse Practitioner | 4950 Fm 1960 Rd W Ste A6, Houston, TX 77069-4517 | 2020-02-29 |
| 1124658679 | Neumed, LLC | Nurse Practitioner | 2401 N Shepherd Dr, Houston, TX 77008-1957 | 2020-01-23 |
| 1306481049 | Grace Usoro | Nurse Practitioner | 3434 Cline St, Houston, TX 77020-6126 | 2019-11-15 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.