JESSICA WALLACE


Address: 6175 Hickory Flat Hwy, Suite 140, Canton, GA 30115-7207
Phone: 7703458606

JESSICA WALLACE (NPI# 1245577907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245577907
Entity Type Individual
Full Name JESSICA WALLACE
Practice Address 6175 Hickory Flat Hwy
Suite 140
Canton
GA 30115-7207
Practice Telephone 7703458606
Mailing Telephone 7703458606
Enumeration Date 2013-01-14
Last Update Date 2013-01-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RPH026896 GA Pharmacy Service Providers

Other Providers JESSICA WALLACE

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1871089680 Jessica Renee Wallace Nurse Practitioner 1821 E. High St., Springfield, OH 45505 2018-07-04
1821517210 Jessica Wallace Behavioral Analyst 43835 Timber Sq Unit 203, Leesburg, VA 20176-3432 2017-09-17
1548639560 Jessica Ann Wallace Physician Assistant 1890 Us Highway 131 Unit 4, Petoskey, MI 49770-8344 2015-09-21
1285031682 Jessica Wallace Speech-Language Pathologist 2900 Knox School Rd, Alliance, OH 44601-9021 2014-12-01
1073940888 Jessica Wallace Marriage & Family Therapist 15611 Pomerado Rd Ste 535, Poway, CA 92064-2437 2013-10-11
1659637478 Jessica Lynn Wallace Community/Behavioral Health 26652 Muse Road, Muse, OK 74949 2012-04-05
1669751418 Jessica Leigh Wallace Physical Therapist 224 Old River Rd, Bluffton, SC 29909-3952 2011-08-11
1689846164 Jessica Nicole Wallace Registered Nurse 655 Front St, Middleport, OH 45760 2008-03-25
1710507371 Jessica M Wallace Nurse Anesthetist, Certified Registered 1959 Ne Pacific St, Seattle, WA 98195-0001 2020-04-23
1306483359 Jessica Wallace Behavior Technician 3130 S Durango Dr Ste 425, Las Vegas, NV 89117-4455 2019-12-09

Office Location

Street Address 6175 HICKORY FLAT HWY
SUITE 140
City CANTON
State GA
Zip Code 30115-7207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194343970 Vittorio Paradiso Pharmacist 6175 Hickory Flat Hwy, Canton, GA 30115-7207 2020-07-08
1225470727 Lindsey Jo Edwards Pharmacist 6175 Hickory Flat Hwy, Ste 140, Canton, GA 30115-7207 2013-07-24
1326386608 Jessica Smith Pharmacist 6175 Hickory Flat Hwy, Canton, GA 30115-7207 2013-01-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
Find all providers in zip 30115

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437750551 Anamiben R Patel Pharmacist 45555 Michigan Ave, Canton, MI 48188-2388 2020-11-04
1467084343 Syed Ashraf Ali Shah Pharmacist 385 Westbourne Ct, Canton, MI 48188-4718 2020-02-07
1427680503 Gracy Mathai-mathews Pharmacist 770 Pheasant Woods Dr, Canton, MI 48188-5224 2020-02-06
1962059378 Catherine Lynn Denner Pharmacist 330 Oak Hill Ln, Canton, GA 30115-5433 2019-08-20
1427601806 Tarek Mazloum Pharmacist 3815 Herbey St, Canton, MI 48188-2421 2019-07-24
1013473925 Yen Do Ruiz Pharmacist 41460 Haggerty Circle South, Canton, MI 48188 2019-02-15
1063978260 Jordan Richard Wanner Pharmacist 4615 Middlebranch Ave Ne, Canton, OH 44705-2960 2019-02-13
1861972333 Brittany Carin Yu Pharmacist 2512 Tuscarawas St W, Canton, OH 44708-4702 2018-08-15
1598256364 Austin Tull Pharmacist 2260 Holly Springs Pkwy Ste 180, Canton, GA 30115-9580 2018-05-28
1518491513 Jerry Sherwin Vidis Pharmacist 41092 Northwind Dr, Canton, MI 48188-3115 2017-04-17
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 30115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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