JENNIFER L WALLACE RN NPI 1417185513

NPI Information

NPI: 1417185513
Provider Name: JENNIFER L WALLACE, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1493 CAMBRIDGE ST
CAMBRIDGE, MA
ZIP 02139
Phone: (617) 665-1560
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Jennifer L Wallace, RN is a psychiatric/mental health registered nurse in Cambridge, MA. Jennifer L Wallace, RN NPI is 1417185513. 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:

1493 CAMBRIDGE ST
CAMBRIDGE, MA
ZIP 02139-047
Phone: (617) 665-1560
Fax: (617) 665-1843

The enumeration date for this NPI number is 6/26/2009 and was last updated on 6/26/2009.

Taxonomy Codes

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN233633	MASSACHUSETTS	Yes

What is NPI?

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: 4/28/2024

NPI Synchronization or Removal

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