Individual provider · Type 1 NPI
Jeanne M. Wallace, APRN
Gerontology Clinical Nurse Specialist · Oro Valley, AZ
NPI number
1194607853
Active
Practice location
360 E Four Horses Cir
Oro Valley, AZ 85704-7209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 322628 (AZ) |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 322628 (AZ) |
Gerontology Clinical Nurse Specialist: Definition to come...
About NPI 1194607853
Jeanne M. Wallace, APRN's National Provider Identifier is 1194607853, issued on Jul 23, 2025. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Oro Valley, AZ. The record was last updated on Jul 23, 2025.