Individual
JESSICA MARIE WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1012 E PERKINS AVE, SANDUSKY, OH 44870-5070
(513) 834-7063
(513) 873-1567
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.470866
OH
Other
Enumeration date
08/09/2021
Last updated
08/29/2025
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