Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFEREY WALLACE
ActiveJEFFEREY WALLACE is a Student (Health Education/Training) healthcare provider located in SANTA CRUZ, California. NPI 1902023070 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · SANTA CRUZ, CA
Registration Details
- NPI Number
- 1902023070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.330343154688 yrs)
- Last Updated
- Aug 26, 2025
Practice Information
- Address
-
1400 EMELINE AVE BLDG KSANTA CRUZ, CA, 950601976Browse CA providers · Browse ZIP 95060
- Phone
- 8313457746
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Other Student (Health Education/Training) Providers in SANTA CRUZ, CA
| Name | Credential | NPI |
|---|---|---|
| MS. JULIE MARIE ALLEN | — | 1285864306 |
| CARTER LYNNE POTTS | OTS | 1023458122 |
| ELIZABETH PITTENGER | — | 1184027674 |
| SAMUEL SALAZAR-CADENA | — | 1972958957 |
| ALMA LOPEZ-PEREZ | — | 1821514118 |
| CHRISTINE ANN HENRIQUES | — | 1619493699 |
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.