MRS. JAMIE MARIE WALLACE (NPI# 1255523346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255523346 |
| Entity Type | Individual |
| Full Name | MRS. JAMIE MARIE WALLACE |
| Other Name | JAMIE MARIE HOLLIS |
| Credential | P.A. |
| Practice Address |
3311 Prescott Rd Suite 201 Alexandria LA 71301-3900 |
| Practice Telephone | 3184426767 |
| Practice Fax Number | 3184411259 |
| Mailing Telephone | 3184426767 |
| Mailing Fax Number | 3184411259 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TEMP PERMIT | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | APPLIED FOR | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881159242 | Jamie Lyn Wallace | Registered Nurse | 1648 Erin Hl, Stoughton, WI 53589-4853 | 2019-02-09 |
| 1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
| 1144889486 | Jamie Marie Wallace | Physical Therapist | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2019-06-11 |
| 1538654108 | Jamie Wallace | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2018-06-26 |
| 1033659784 | Jamie Wallace | Licensed Vocational Nurse | 300 E 15th St, Merced, CA 95341-6217 | 2017-02-28 |
| 1649520511 | Jamie Wallace | Physical Therapist | 469 W Putnam Ave, Greenwich, CT 06830-6895 | 2012-09-18 |
| 1205883147 | Jamie F Wallace | Pediatrics | 735 Glynn St S, Fayetteville, GA 30214-2049 | 2006-05-27 |
| 1023066354 | Jamie Russelle Wallace | Pediatrics | 10752 N 89th Pl, #126, Scottsdale, AZ 85260 | 2006-05-05 |
| Street Address |
3311 PRESCOTT RD SUITE 201 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232479 | Maan Younes | Internal Medicine | 3311 Prescott Rd, Ste 318, Alexandria, LA 71301-3984 | 2005-06-01 |
| 1124575253 | Hailey Weeks | Physician Assistant | 3311 Prescott Rd, Suite201, Alexandria, LA 71301-3900 | 2016-09-07 |
| 1619343548 | Courtney Allen | Physician Assistant | 3311 Prescott Rd, Suite 411, Alexandria, LA 71301-3900 | 2015-08-14 |
| 1245506617 | Sharhonda Alicia Biley | Obstetrics & Gynecology | 3311 Prescott Rd, Ste 410, Alexandria, LA 71301-3900 | 2012-03-29 |
| 1215201215 | Vincent D. Mallory Md., LLC | Clinic/Center | 3311 Prescott Rd, Suite 316, Alexandria, LA 71301-3900 | 2012-03-08 |
| 1548541386 | Alaina Christine Chicola | Nurse Practitioner | 3311 Prescott Rd, Suite 410, Alexandria, LA 71301-3900 | 2011-09-07 |
| 1487932406 | Interventional Pain of Cenla, LLC | Clinic/Center | 3311 Prescott Rd, Suite 311, Alexandria, LA 71301-3900 | 2011-07-25 |
| 1063710093 | Beckie Leigh Vincent | Nurse Practitioner | 3311 Prescott Rd, Suite 417, Alexandria, LA 71301-3900 | 2011-02-28 |
| 1255643383 | Central Louisiana Anesthesia and Pain Management Centre Apmc | Specialist | 3311 Prescott Rd, Suite 415, Alexandria, LA 71301-3900 | 2010-07-06 |
| 1902136328 | Alexandria Gastrointestinal Specialists, LLC | Internal Medicine | 3311 Prescott Rd, Suite 411, Alexandria, LA 71301-3900 | 2010-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1699327932 | Hannah Madison Segal | Physician Assistant | 2805 Duke St, Alexandria, VA 22314-4512 | 2019-07-16 |
| 1164892204 | Kacey Rae Buckner Lopez | Physician Assistant | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-01 |
| 1922413905 | Robert Lewis Meadows | Physician Assistant | 3704 North Blvd, Ste C, Alexandria, LA 71301-3658 | 2014-06-27 |
| 1396174330 | Michael James Kunstle | Physician Assistant | 111 17th Ave E, Suite 101, Alexandria, MN 56308-3734 | 2013-11-08 |
| 1427337716 | Anna Fall Parten | Physician Assistant | 3351 Masonic Dr, Alexandria, LA 71301-3842 | 2011-08-04 |
| 1285955146 | Theodore E Temoshchuk | Physician Assistant | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2010-06-15 |
| 1841441995 | James Brian Broussard | Physician Assistant | 201 4th St, Alexandria, LA 71301-8421 | 2008-10-07 |
| 1952562886 | Jeanine Marie Gargiulo | Physician Assistant | 2501 Parkers Ln, Suite 200, Alexandria, VA 22306-3209 | 2008-06-23 |
| 1790994812 | Terence Scott Crosby | Physician Assistant | 2501 Parkers Ln, Alexandria, VA 22306-3209 | 2007-05-22 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on MRS. JAMIE MARIE WALLACE.
| 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.