Jennifer Lea Wallace, PAC
Jennifer Lea Wallace, PAC is a Medical Physician Assistant in Saint Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2006.
- Licensed in
- FL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
625 6th Ave S Ste 385Saint Petersburg, FL 33701-4662
Phone: (727) 553-7100
Fax: (727) 553-7198
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 PA9105134 (FL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence PA9105134 (FL) |
Record details
| NPI number | 1700864493 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | January 4, 2006 |
| Last updated in NPPES | October 8, 2015 |
Other providers in Saint Petersburg
-
Colette R Raine, PA-C
7901 4th St N Ste 300, Saint Petersburg, FL 33702-4399 · (407) 550-7755
-
Catherine Ruffino
601 7th St S Ste 565, Saint Petersburg, FL 33701-4708 · (727) 456-8968
-
Mrs. Courtney Cali Titus, PA-C
601 5th St S All Children's Specialty Physicians Occ Ste 501, Saint Petersburg, FL 33701-4804 · (727) 767-8480
-
Isabela Torregrosa, PA-C
4950 34th St N, Saint Petersburg, FL 33714-3031 · (727) 824-8181