Jennifer Katherine Wallace, PA-C
Jennifer Katherine Wallace, PA-C is a Medical Physician Assistant in Ventura, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
2660 E Main St Ste 204Ventura, CA 93003-2893
Phone: (805) 643-7500
Fax: (805) 643-7501
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA20925 (CA) |
|---|
Record details
| NPI number | 1578796926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 2, 2009 |
| Last updated in NPPES | September 8, 2010 |
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