Jennifer Jane Wallace, PA is a medical physician assistant in New Bedford, MA. Jennifer Jane Wallace, PA NPI is 1548283336. 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:
101 PAGE ST
NEW BEDFORD, MA
ZIP 02740-464
Phone: (508) 992-7994
The NPI 1548283336 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 7/25/2006 and was last updated on 7/8/2007.