NPI Profile for MS. JENNIFER WALLACE in EVERETT, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Phlebotomy |
246RP1900X | |||
Clinic/Center |
261Q00000X | |||
Clinical Medical Laboratory |
291U00000X | 69 | Clinical Laboratory | |
Driver |
172A00000X | |||
Health Service |
261QH0100X | |||
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Home Health Aide |
374U00000X | |||
Nursing Care |
251J00000X | |||
Technician, Other |
247200000X | 75 | Slide Preparation Facility | |
Technician/Technologist |
156F00000X |
| NPI # | 1356968440 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/06/2020 | |
| Last updated | 04/14/2026 - About 2 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JENNIFER WALLACE
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