Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LAIRD WALLACE
ActiveJENNIFER LAIRD WALLACE is a Licensed Practical Nurse healthcare provider located in LIVINGSTON, Texas. NPI 1497249882 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · LIVINGSTON, TX
Registration Details
- NPI Number
- 1497249882
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2018 (7.9703717414555 yrs)
- Last Updated
- Mar 8, 2026
- Licenses
-
96257 (TX)330403 (TX)
Practice Information
- Address
-
4468 DUFF RDLIVINGSTON, TX, 773515627Browse TX providers · Browse ZIP 77351
- Phone
- 9362151467
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
- Additional Specialty
- Licensed Practical Nurse
Other Licensed Practical Nurse Providers in LIVINGSTON, TX
| Name | Credential | NPI |
|---|---|---|
| SHADOW SCOTT | — | 1316431679 |
| JODI JENKINS | — | 1225698236 |
| ANN MARIE VIRTANEN | — | 1528931359 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.