MS. Jessica Lorraine Wallace, PA
MS. Jessica Lorraine Wallace, PA is a Medical Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2024.
- Licensed in
- NY
- In the registry since
- 2024
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
355 Bard AveStaten Island, NY 10310-1664
Phone: (718) 818-2995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 032571 (NY) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X (NY) |
Record details
| NPI number | 1588407720 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | June 17, 2024 |
| Last updated in NPPES | August 14, 2025 |
| Certification date | August 14, 2025 |
Other providers in Staten Island
-
Rachel Tova Steinberg, PA
1012 Westwood Ave, Staten Island, NY 10314-4242 · (718) 370-3531
-
Fiona Clare Taylor
475 Seaview Ave, Staten Island, NY 10305-3436 · (718) 226-9000
-
Jonathan Twiggs
1 Campus Rd, Staten Island, NY 10301-4479 · (917) 608-1474
-
MS. Alison Ullrich, PA
1050 Clove Rd, Staten Island, NY 10301-3627 · (718) 816-6440
-
MS. Brittany Lauren Wilson, PA
2066 Richmond Ave, Staten Island, NY 10314-3960 · (718) 982-9001
-
Mr. Thomas Frederick Zimmerman, PHYSICIANASSISTANT
355 Bard Ave, Staten Island, NY 10310-1664 · (718) 818-1234