What is Jessie Wallace's NPI number?

Jessie Wallace's National Provider Identifier (NPI) is 1952182719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jessie Wallace's specialty?

Jessie Wallace is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Jessie Wallace located?

Jessie Wallace's practice location on file with NPPES is 104 S Front Ave, Prestonsburg, KY 41653-1614.

What is Jessie Wallace's phone number?

The practice phone number listed in the NPPES registry for Jessie Wallace is (606) 886-8572.

Is Jessie Wallace's NPI active?

Yes — Jessie Wallace's NPI (1952182719) is active in the NPPES registry as of the last update on 2023-10-09.

IndividualActive

Jessie Wallace

NPI 1952182719 · Community Health Worker · Prestonsburg, KY

Jessie Wallace is a Community Health Worker provider in Prestonsburg, KY (NPI 1952182719).

Provider details

NPI number: 1952182719
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
83% 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

104 S Front Ave

Prestonsburg, KY 41653-1614

Phone: (606) 886-8572

Fax: (606) 886-4433

Street-level locationGet directions

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Mailing address