Jaclyn Renee Wallace, NNP-BC is a neonatal and critical care nurse practitioner in Atlanta, GA. Jaclyn Renee Wallace, NNP-BC NPI is 1326572801. The provider is registered as an individual entity type. The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1711 TULLIE CIR NE ATLANTA, GA ZIP 30329-305 Phone: (404) 785-5413 Fax: (404) 785-6233
The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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