Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Wallace

Individual provider Licensed Practical Nurse · NPI 1184820565

Jessica Wallace is a Licensed Practical Nurse in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007
Specialties on file
2

Practice location Address checks out

580 Mohawk Dr
Boulder, CO 80303-3712
Phone: (303) 554-5185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 185784 (CO)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 41618 (CO)

Record details

NPI number1184820565
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESMay 2, 2008

Other providers in Boulder