Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jamie Lyn Wallace

Individual provider Other Technician · NPI 1639527567

Jamie Lyn Wallace is an Other Technician in Cass City, Michigan. Licensed in Michigan. Registered with an NPI since 2016.

Licensed in
MI
In the registry since
2016
Specialties on file
2

Practice location Address checks out

6823 Main St
Cass City, MI 48726-9693
Phone: (989) 325-2600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X (MI)
Other Technician Taxonomy 247200000X

Record details

NPI number1639527567
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESMay 26, 2022
Certification dateMay 26, 2022
Mailing address4616 Seeger St, Cass City, MI 48726-1229

Other providers in Cass City