Individual provider · Type 1 NPI

Jenna Rose Wallace, DNP, APRN, CNP

Family Nurse Practitioner · West Fargo, ND

NPI number 1093236572 Active

Practice location

1220 Sheyenne St
West Fargo, ND 58078-2637

Call (701) 234-4445 Map

Fax (701) 234-4456

Mailing address

3122 46th Ave S
Fargo, ND 58104-6658

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR37792 (ND)

Family Nurse Practitioner: Definition to come...

22 other providers at this address

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About NPI 1093236572

Jenna Rose Wallace, DNP, APRN, CNP's National Provider Identifier is 1093236572, issued on Jul 5, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Fargo, ND. The record was last updated on Jul 5, 2017.