Jennifer Wallace, PAC
NPI 1700864493 · Medical Physician Assistant · Saint Petersburg, FL
Jennifer Wallace, PAC is a Medical Physician Assistant provider in Saint Petersburg, FL (NPI 1700864493).
Provider details
- NPI number
- 1700864493
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- PA9105134 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-01-04
- Last updated
- 2015-10-08
Frequently asked questions
- What is Jennifer Wallace's NPI number?
- Jennifer Wallace's National Provider Identifier (NPI) is 1700864493, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Wallace's specialty?
- Jennifer Wallace is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Wallace located?
- Jennifer Wallace's practice location on file with NPPES is 625 6th Ave S, Saint Petersburg, FL 33701-4662.
- What is Jennifer Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Wallace is (727) 553-7100.
- Is Jennifer Wallace's NPI active?
- Yes — Jennifer Wallace's NPI (1700864493) is active in the NPPES registry as of the last update on 2015-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.