Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAILENE WALLACE, FNP-C
ActiveJAILENE WALLACE, FNP-C is a Family Nurse Practitioner healthcare provider located in PROVIDENCE, Rhode Island. NPI 1891678702 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · PROVIDENCE, RI
Registration Details
- NPI Number
- 1891678702
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2025 (1.0448685329231 yrs)
- Last Updated
- Sep 15, 2025
- Licenses
-
APRN04646 (RI)APRN04646 (RI)
Practice Information
- Address
-
712 BROAD STPROVIDENCE, RI, 029071465Browse RI providers · Browse ZIP 02907
- Phone
- 4012335060
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Geriatric Medicine
Other Family Nurse Practitioner Providers in PROVIDENCE, RI
| Name | Credential | NPI |
|---|---|---|
| MS. AMY ELIZABETH WRIGHT | FNP | 1922084078 |
| BETHANY W BAKER | NURSR PRACTITIONER | 1942289475 |
| MS. BRENDA BISHOP AZAR | FNP | 1245219898 |
| NANCY M BOTELHO | NP | 1346214293 |
| TANYA CHRISTINE SULLIVAN | APRN, MSN, CNP | 1477527182 |
| MS. LYNN ANNE WACHTEL | RNP | 1033161716 |
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.