Jacob Cole Wallace
Jacob Cole Wallace is an Emergency Registered Nurse in Odessa, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2026
Practice location Address checks out
500 W 4th StOdessa, TX 79761-5059
Phone: (432) 640-4000
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Emergency Registered Nurse (primary) | Taxonomy 163WE0003X · Licence 1160284 (TX) |
|---|
Record details
| NPI number | 1710807565 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 20, 2026 |
| Last updated in NPPES | July 20, 2026 |
| Certification date | July 20, 2026 |
| Mailing address | 500 W 4th St, Odessa, TX 79761-5059 |