JESSICA WALLEN APRN NPI 1427670827

NPI Information

NPI: 1427670827
Provider Name: JESSICA WALLEN, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BOWLING GREEN WARREN COUNTY COMMUNITY HOSPITAL CORPORATION

PECOS Registration: Yes

Address:
745 SHAKER MILL RD
BOWLING GREEN, KY
ZIP 42103
Phone: (606) 688-4643
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Jessica Wallen, APRN is a family nurse practitioner in Bowling Green, KY with 3 years of experience. Jessica Wallen, APRN NPI is 1427670827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

745 SHAKER MILL RD
BOWLING GREEN, KY
ZIP 42103-064
Phone: (606) 688-4643

The NPI 1427670827 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2020 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	1137080	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	3016353	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3016353	MEDICAID	KENTUCKY
2	1137080	OTHER	KENTUCKY	RN LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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