IndividualActive
Jessica Wallace
NPI 1184820565 · Registered Nurse · Boulder, CO
Jessica Wallace is a Registered Nurse provider in Boulder, CO (NPI 1184820565).
Provider details
- NPI number
- 1184820565
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 41618 (CO)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
580 Mohawk Dr
Boulder, CO 80303-3712
Phone: (303) 554-5185
Street-level locationGet directions
Mailing address
580 Mohawk Dr
Boulder, CO 80303-3712
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2008-05-02
Frequently asked questions
- What is Jessica Wallace's NPI number?
- Jessica Wallace's National Provider Identifier (NPI) is 1184820565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Wallace's specialty?
- Jessica Wallace is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Jessica Wallace located?
- Jessica Wallace's practice location on file with NPPES is 580 Mohawk Dr, Boulder, CO 80303-3712.
- What is Jessica Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jessica Wallace is (303) 554-5185.
- Is Jessica Wallace's NPI active?
- Yes — Jessica Wallace's NPI (1184820565) is active in the NPPES registry as of the last update on 2008-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.