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JESSICA LYNN WALLACE
NPI 1659637478
Community/Behavioral Health in Muse, OK

Active since April 05, 2012
26652 MUSE ROAD, MUSE, OK 74949(918) 567-1719 Get Directions Write a Review

NPPES record last updated: April 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Lynn Wallace NPPES

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

JESSICA LYNN WALLACE (NPI 1659637478) is an individual community/behavioral health provider in Muse, Oklahoma and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1659637478
Entity TypeIndividualFemale
Primary Taxonomy251S00000X
Provider Legal NameJESSICA LYNN WALLACE
Location Address26652 MUSE ROADMuse, OK 74949
Mailing AddressBox 26652 St. Hwy. 63Hodgen, OK 74939 · (918) 567-1719
Phone(918) 567-1719
Sole ProprietorYes
Enumeration DateApril 5, 2012
✔ NPI 1659637478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
26652 MUSE ROAD, Muse, OK 74949
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISTI MORTENSEN
Driver
26652 MUSE ROAD
MUSE, OK 74949
Le Flore County (435) 790-2159

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wallace's NPI number?

The NPI number for Jessica Wallace is 1659637478. It was assigned to this individual provider in the NPPES registry on April 5, 2012.

Where is Jessica Wallace located?

Jessica Wallace practices at 26652 Muse Road, Muse, OK 74949. The listed phone number is (918) 567-1719.

What is Jessica Wallace's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jessica Wallace was last updated on April 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.