JAMIE LYN WALLACE (NPI# 1881159242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881159242 |
| Entity Type | Individual |
| Full Name | JAMIE LYN WALLACE |
| Practice Address |
1648 Erin Hl Stoughton WI 53589-4853 |
| Practice Telephone | 6082056288 |
| Mailing Telephone | 6082056288 |
| Enumeration Date | 2019-02-09 |
| Last Update Date | 2019-02-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 132676 | WI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1255523346 | Jamie Marie Wallace | Physician Assistant | 3311 Prescott Rd, Suite 201, Alexandria, LA 71301-3900 | 2007-08-13 |
| 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 |
1648 ERIN HL |
| City | STOUGHTON |
| State | WI |
| Zip Code | 53589-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467971507 | Linda Kay Balthazor | Registered Nurse | 900 Truman, Stoughton, WI 53589 | 2017-09-10 |
| 1801342464 | Lorchid Lanoway | Licensed Practical Nurse | 1817 Cedarbrook Ln, Unit 9, Stoughton, WI 53589 | 2016-09-01 |
| 1114203296 | Marilyn Mary Mackinnon | Pharmacist | 1705 Highway Fifty One, Stoughton, WI 53589 | 2011-11-02 |
| 1053693028 | Alfred Bennin | Pharmacist | 1705 Us Hwy 51/138, Stoughton, WI 53589 | 2011-09-15 |
| 1447531892 | Tina Ann Ferguson | Pharmacist | 1705 Us Highway 51, Stoughton, WI 53589 | 2011-08-30 |
| 1285926972 | Jenifer Lee Stokstad | Registered Nurse | 3496 Hwy 138, Stoughton, WI 53589 | 2011-05-12 |
| 1447583018 | Stephanie Marie Kind | Licensed Practical Nurse | 608 W South St, Stoughton, WI 53589 | 2009-09-14 |
| 1386885721 | Scott Tauferner | Physical Therapist | 2300 Us Hwy 51-138, Stoughton, WI 53589 | 2009-03-16 |
| 1245495480 | Roundy's Supermarkets Inc | Pharmacy | 1750 Hwy 51 W, Stoughton, WI 53589 | 2008-07-28 |
| 1720278005 | Judith Davis | Clinical Neuropsychologist | 716 Roby Rd, Stoughton, WI 53589 | 2007-08-01 |
| Find all providers in zip 53589 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067934 | Marie Chantal Tuffet | Registered Nurse | 203 Britton Ave Apt T2, Stoughton, MA 02072-2564 | 2020-09-11 |
| 1700499233 | Queen Woghiren | Registered Nurse | 111 Tamarack Dr, Stoughton, MA 02072-5013 | 2020-08-25 |
| 1801413299 | Jessica Leigh Freitas | Registered Nurse | 24 Dennison Ct, Stoughton, MA 02072-3559 | 2020-07-01 |
| 1861016719 | Gerline Jean | Registered Nurse | 68 Ewing Dr, Stoughton, MA 02072-1813 | 2020-06-05 |
| 1467086090 | Marie Jean-baptiste | Registered Nurse | 50 Lucas Dr, Stoughton, MA 02072-3439 | 2020-02-21 |
| 1508400698 | Maikhou Lor Her | Registered Nurse | 214 S Forrest St Ste L1, Stoughton, WI 53589-1713 | 2019-10-31 |
| 1598244527 | Augutine Atta-poku | Registered Nurse | 28 Ethyl Way, Stoughton, MA 02072-1211 | 2018-08-10 |
| 1801397401 | Barbara Jean Sakrison | Registered Nurse | 900 Truman St., Stoughton, WI 53599 | 2018-02-28 |
| 1184149320 | Fredrick Sawe | Registered Nurse | 206 Britton Ave, Stoughton, MA 02072-2578 | 2017-08-09 |
| 1457805657 | Janice Estelle Medeiros | Registered Nurse | 54 Pearl St, Stoughton, MA 02072-2302 | 2016-08-05 |
| Find all providers in STOUGHTON | ||||
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| 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.