Individual provider · Type 1 NPI
Jailene Wallace, FNP-C
Family Nurse Practitioner · Providence, RI
NPI number
1891678702
Active
Practice location
712 Broad St
Providence, RI 02907-1465
Mailing address
PO Box 746088
Atlanta, GA 30374-6088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN04646 (RI) |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | APRN04646 (RI) |
Family Nurse Practitioner: Definition to come...
10 other providers at this address
- Alex P. Diaz de Villalvilla, MDInternal Medicine Physician Providence, RI NPI 1548422074
- Carolina Serna BoeClinical Social Worker Providence, RI NPI 1083924880
- Dilennys Mercedes Perez, FNPFamily Nurse Practitioner Providence, RI NPI 1881235174
- Erin Ivatts, MSN, AGNP-CCommunity Health Nurse Practitioner Providence, RI NPI 1730639253
- Margaret Annette Gallardo-Cochran, MDFamily Medicine Physician Providence, RI NPI 1326209743
- Naomie Robert, A-GNP-CGerontology Nurse Practitioner Providence, RI NPI 1841902970
- Solmaz Behtash, DOFamily Medicine Physician Providence, RI NPI 1326151937
- Sonia Gomes, LICSWClinical Social Worker Providence, RI NPI 1649527995
- Tsewang GyurmeyFamily Medicine Physician Providence, RI NPI 1497948566
- Yini DiazClinical Social Worker Providence, RI NPI 1912367137
Other family nurse practitioner providers in Providence
- Halina Kuc-MazgajFamily Nurse Practitioner Providence, RI NPI 1003103185
- Abigail Leah Soscia, APRNFamily Nurse Practitioner Providence, RI NPI 1003562885
- Brittany Catherine Dawson, FNP-BCFamily Nurse Practitioner Providence, RI NPI 1013383454
- Christopher James Cureton, NPFamily Nurse Practitioner Providence, RI NPI 1013416353
- Mayelin Pacheco Nunez, NPFamily Nurse Practitioner Providence, RI NPI 1013638584
- Sarah Pagliarini, NPFamily Nurse Practitioner Providence, RI NPI 1023535010
- Cristina Encarnacion, FNP-CFamily Nurse Practitioner Providence, RI NPI 1023834793
- Nicole Catherine Polillio, NPFamily Nurse Practitioner Providence, RI NPI 1033004189
About NPI 1891678702
Jailene Wallace, FNP-C's National Provider Identifier is 1891678702, issued on Jul 29, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Providence, RI. The record was last updated on Sep 15, 2025.