NPI 1053002600
Jessica Ann Wallette
Practice location
- Address
- 200 Highway 2 W, Devils Lake, ND 58301-3532
- Phone
- (701) 550-1244
Registered specialties (2)
Specialist
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1053002600
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 May 2023
- Record last updated
- 28 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.