Individual provider · Type 1 NPI

Monica Marie Wallace, RN

Registered Nurse · Cookstown, NJ

NPI number 1245170604 Active

Practice location

3 Laburnum Close
Cookstown, NJ 08511-1203

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X26NR11552100 (NJ)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

About NPI 1245170604

Monica Marie Wallace, RN's National Provider Identifier is 1245170604, issued on Mar 28, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Cookstown, NJ. The record was last updated on Mar 28, 2026.