Lookup NPI Numbers from the NPI Registry
NPI Profile for JAILENE WALLACE in PROVIDENCE, RI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Geriatric Medicine |
207QG0300X | 08 | Physician/Family Practice |
| NPI Number | 1891678702 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 07/29/2025 | |
| Last updated | 09/15/2025 - About 9 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JAILENE WALLACE
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| ROBIN J LAJOIE, MD 230 WASHINGTON STREET SOUTH ATTLEBORO, MA |
JAILENE WALLACE, FNP-C