Individual provider · Type 1 NPI
Jennifer M. Wallace, NP
Nurse Practitioner · Springfield, MA
Practice location
3640 Main St, Suite 302
Springfield, MA 01107-1145
Fax (413) 732-4040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | RN218174 (MA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1235379090
Jennifer M. Wallace, NP's National Provider Identifier is 1235379090, issued on Mar 5, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Springfield, MA. The record was last updated on Apr 21, 2016.