Individual provider · Type 1 NPI

Jacqueline M. Wallace, PHYSICIAN

Obstetrics & Gynecology Physician · Columbia, MD

NPI number 1912945155 Active

Practice location

10910 Little Patuxent Pkwy, Suite 100
Columbia, MD 21044-3078

Call (410) 997-8444 Map

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XMD059921L (PA)
Obstetrics & Gynecology Physician Primary 207V00000XD0069282 (MD)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

15 other providers at this address

Other obstetrics & gynecology physician providers in Columbia

See all in Columbia →

About NPI 1912945155

Jacqueline M. Wallace, PHYSICIAN's National Provider Identifier is 1912945155, issued on Jun 2, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Columbia, MD. The record was last updated on Jun 22, 2010.