JENNIFER JANE WALLACE (NPI# 1548283336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548283336 |
| Entity Type | Individual |
| Full Name | JENNIFER JANE WALLACE |
| Credential | PA |
| Practice Address |
101 Page St New Bedford MA 02740-3464 |
| Practice Telephone | 5089927994 |
| Mailing Telephone | 5089927994 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1992 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356968440 | Jennifer Wallace | Technician/Technologist | 2041 E 3rd Dr, Mesa, AZ 85204-1401 | 2020-07-06 |
| 1497249882 | Jennifer Laird Wallace | Licensed Practical Nurse | 4468 Duff Rd, Livingston, TX 77351-5627 | 2018-06-19 |
| 1124579602 | Jennifer Marie Wallace | Acupuncturist | 237 Avenida Del Norte, Redondo Beach, CA 90277-5702 | 2016-10-19 |
| 1174926984 | Jennifer Wallace | Specialist/Technologist | 806 Patton Chapel Trl, Hoover, AL 35226-2254 | 2014-10-07 |
| 1295083897 | Jennifer Wallace | Psychologist | 4226 Green Lake Rd, West Bloomfield, MI 48323-1139 | 2012-08-29 |
| 1669799086 | Jennifer Renea Wallace | Counselor | 3802 W University Blvd Apt 8104, Durant, OK 74701-3047 | 2010-04-24 |
| 1306035431 | Jennifer L Wallace | Physical Therapist | 3891 50th Ave S, Saint Petersburg, FL 33711-4811 | 2007-10-15 |
| 1316974058 | Jennifer Wallace | Speech-Language Pathologist | 1901 Century Blvd Ne Ste 20, Atlanta, GA 30345-3300 | 2006-06-27 |
| 1992766570 | Jennifer P Wallace | Specialist | 64400 E 26th Ct, Byers, CO 80103-8539 | 2006-03-31 |
| 1730154154 | Jennifer Lyn Wallace | Family Medicine | 1235 Se Division St, Suite 208, Portland, OR 97202-1099 | 2006-02-20 |
| Street Address |
101 PAGE ST |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02740-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485155 | Bruce P Abbott | Specialist | 101 Page St, New Bedford, MA 02740-3464 | 2005-05-31 |
| 1982205811 | Michelle Ann Guidotti | Registered Nurse | 101 Page St, New Bedford, MA 02740-3464 | 2020-11-06 |
| 1902405590 | Southcoast Health System, Inc. | Home Health | 101 Page St, New Bedford, MA 02740-3464 | 2020-10-23 |
| 1184244501 | Cassandra Lima | Registered Nurse | 101 Page St, New Bedford, MA 02740-3400 | 2020-04-26 |
| 1740818368 | Ryan Patrick Carey | Nurse Anesthetist, Certified Registered | 101 Page St, New Bedford, MA 02740-3464 | 2020-03-30 |
| 1720613177 | Kayla Marie Fraser | Physician Assistant | 101 Page St, New Bedford, MA 02740-3464 | 2020-03-05 |
| 1356981617 | Cassie Cole Costa | Physician Assistant | 101 Page St, New Bedford, MA 02740-3464 | 2020-01-14 |
| 1801435383 | Nedel Mario Merto | Nurse Anesthetist, Certified Registered | 101 Page St, New Bedford, MA 02740-3464 | 2019-12-31 |
| 1487291563 | Angela M Ruggiero | Pharmacist | 101 Page St, New Bedford, MA 02740-3464 | 2019-12-07 |
| 1194383265 | Jeffrey Raymond Woods | Registered Nurse | 101 Page St, New Bedford, MA 02740-3400 | 2019-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689294019 | Jacqueline Maye | Homemaker | 167 North Street, New Bedford, MA 02740 | 2020-04-27 |
| 1467095810 | Siere Jennifer Alkee | Psychiatry & Neurology | 68 N.front St, New Bedford, MA 02740 | 2019-10-17 |
| 1285282285 | Michelle Marie Montella | Counselor | 5 Dover St., New Bedford, MA 02740 | 2019-09-03 |
| 1891349460 | Carla E Fernandes | Counselor | 89 Pleasant Street, Apt 2, New Bedford, MA 02740 | 2019-07-31 |
| 1881156446 | Rachael Nylin | Health Educator | 128 Union St, Ste 204, New Bedford, MA 02740 | 2019-04-03 |
| 1194207563 | Wendy Anne Pacheco | Social Worker | 179 William Street, New Bedford, MA 02740 | 2018-09-03 |
| 1972085306 | Clear Coast Dental Pllc | Dentist | 906 Hathaway Road, New Bedford, MA 02740 | 2018-09-01 |
| 1538646617 | Derek Baptiste | Counselor | 68 N. Front St, New Bedford, MA 02740 | 2018-07-23 |
| 1316439227 | Savanna Alexandrea Jones | Social Worker | 543 North St., New Bedford, MA 02740 | 2018-06-06 |
| 1265940860 | My Dental New Bedford | Clinic/Center | 770 Purchase St, New Bedford, MA 02740 | 2018-01-17 |
| Find all providers in zip 02740 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750369278 | William L Thornson | Physician Assistant | 890 Brock Ave, New Bedford, MA 02744-1626 | 2006-01-04 |
| 1922441575 | Stephanie Marie Massa | Physician Assistant | 874 Purchase St, New Bedford, MA 02740-6232 | 2013-04-14 |
| 1467708503 | Kevin King | Physician Assistant | 10 Kilburn St, New Bedford, MA 02740-7321 | 2012-07-26 |
| 1376507749 | Christina Coleman | Physician Assistant | 225 Field St, New Bedford, MA 02740-2134 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
| 1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
| 1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
| 1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
| 1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
| 1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
| 1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
| 1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02740 |
Please comment or provide details below to improve the information on JENNIFER JANE WALLACE.
| 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.