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JESSICA LYNN WALLACE LPN
NPI 1427713288
Licensed Practical Nurse in Burlington, VT

Active since November 05, 2021
65 CAMBRIAN WAY APT 110, BURLINGTON, VT 05401(802) 503-8051 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Lynn Wallace Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA LYNN WALLACE LPN (NPI 1427713288) is an individual licensed practical nurse in Burlington, Vermont, licensed in Vermont (025.0112709) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1427713288
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA LYNN WALLACECredential: LPN
Location Address65 CAMBRIAN WAY APT 110Burlington, VT 05401-2970
Mailing Address65 Cambrian Way Apt 110Burlington, VT 05401-2970 · (802) 503-8051
Phone(802) 503-8051
Sole ProprietorNo
Enumeration DateNovember 5, 2021
NPPES CertifiedNovember 5, 2021
✔ NPI 1427713288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in VT · 025.0112709
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

65 CAMBRIAN WAY APT 110, Burlington, VT 05401
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Other Names 1

Former Name (1)Jessica Lynn Hale

Frequently Asked Questions

What is Jessica Wallace's NPI number?

The NPI number assigned to this healthcare provider is 1427713288, enumerated as an "individual" on November 05, 2021.

Where is the provider located?

The provider is located at 65 CAMBRIAN WAY APT 110 BURLINGTON, VT 05401 and the phone number is (802) 503-8051.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.