Individual provider · Type 1 NPI

Jennifer F. Wallace, NP

Pediatric Nurse Practitioner · Memphis, TN

NPI number 1992909196 Active

Practice location

262 Danny Thomas Pl
Memphis, TN 38105-3678

Fax (901) 595-3842

Mailing address

262 Danny Thomas Place, Ms 515
Memphis, TN 38105-2729

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X12627 (TN)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1992909196

Jennifer F. Wallace, NP's National Provider Identifier is 1992909196, issued on Jun 12, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Memphis, TN. The record was last updated on May 9, 2016.