Individual provider · Type 1 NPI
Jennifer K. Wallace, DNP, APRN, FNP-BC
Family Nurse Practitioner · Sycamore, IL
NPI number
1306642996
Active
Practice location
2496 Dekalb Ave
Sycamore, IL 60178-3293
Mailing address
1410 Peyton Pl
St. Charles, IL 60174-5067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.031651 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1306642996
Jennifer K. Wallace, DNP, APRN, FNP-BC's National Provider Identifier is 1306642996, issued on Feb 24, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Sycamore, IL. The record was last updated on Feb 24, 2025.