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

Jessica Faye Wallace, PA-C

Individual provider Medical Physician Assistant · NPI 1306920780

Jessica Faye Wallace, PA-C is a Medical Physician Assistant in Washington, District of Columbia. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3020 14th St NW
Washington, DC 20009-6865
Phone: (202) 745-4300
Fax: (202) 745-2510
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-00640 (NC)

Record details

NPI number1306920780
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021

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