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Contact Information

JESSICA WALLEN, APRN
466 BURNLEY RD
SCOTTSVILLE, KY42164-6355
 Phone: 270-618-3700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for JESSICA WALLEN · (Female)

NPI # 1427670827
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 05/08/2020
Last updated 12/28/2022 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 1137080
  • KY License # 3016353
  • KY Medicaid 3016353
  • KY Other 1137080 RN LICENSE
Hospital affiliation(s)
  • THE MEDICAL CENTER AT SCOTTSVILLE - (Critical Access)
    456 BURNLEY ROAD
    SCOTTSVILLE, KY 42164
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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