| Jessica Wallace, | |
|
580 Mohawk Dr, Boulder, CO 80303-3712 | |
| (303) 554-5185 | |
| Not Available |
| Full Name | Jessica Wallace |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 580 Mohawk Dr, Boulder, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184820565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 41618 (Colorado) | Secondary |
| 163W00000X | Registered Nurse | 185784 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Wallace, 580 Mohawk Dr, Boulder, CO 80303-3712 Ph: () - | Jessica Wallace, 580 Mohawk Dr, Boulder, CO 80303-3712 Ph: (303) 554-5185 |
Sarit Schneider, CNM Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1054 Rosehill Dr, Boulder, CO 80302 Phone: 720-565-0605 | |
Mary Lynn Johnson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1567 48th St, Boulder, CO 80303 Phone: 303-506-9439 | |
Franciska Moore, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3303 North Broadway, Boulder, CO 80304 Phone: 303-449-6050 | |
Holly Therese Lehmann, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3780 Smuggler Pl, Boulder, CO 80305 Phone: 843-338-0123 | |
Mr. William Michael Carestio, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
Carol Joan Palm, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2515 Broadway St, Boulder, CO 80304 Phone: 303-245-0894 Fax: 303-245-0916 | |
Emma S Brown, Registered Nurse Medicare: Medicare Enrolled Practice Location: 2501 Walnut St Ste 211, Boulder, CO 80302 Phone: 303-481-2366 |