DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JYNUINE WALLACE

Active Sole Proprietor

Student (Health Education/Training) · NORTH VERSAILLES, PA

Registration Details

NPI Number
1740158377
Provider Type
Individual
Gender
Female
NPI Issued
Oct 27, 2025 (0.485208113638 yrs)
Last Updated
Oct 27, 2025
Sole Proprietor
Yes

Practice Information

Address
107 ARLENE AVE
NORTH VERSAILLES, PA, 151372432
Browse PA providers · Browse ZIP 15137
Phone
4123043090
Primary Specialty
Student (Health Education/Training)
390200000X
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.