Jennifer Nicole Wallace, RN - Registered Nurse in Dundalk, MD

Jennifer Nicole Wallace, RN is a Registered Nurse - Community Health based in Dundalk, Maryland. Jennifer Nicole Wallace is licensed to practice in Maryland (license number R197247) and her current practice location is 2002 Denbury Dr, Dundalk, Maryland. She can be reached at her office (for appointments etc.) via phone at (410) 419-7151.

NPI number for Jennifer Nicole Wallace is 1962172759 and her current mailing address is 2002 Denbury Dr, Dundalk, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962172759.

Contact Information

Jennifer Nicole Wallace, RN
2002 Denbury Dr,
Dundalk, MD 21222-4603
(410) 419-7151
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Nicole Wallace
GenderFemale
SpecialityRegistered Nurse - Community Health
Location2002 Denbury Dr, Dundalk, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962172759
  • Provider Enumeration Date: 09/14/2021
  • Last Update Date: 09/14/2021

Medical Identifiers

Medical identifiers for Jennifer Nicole Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962172759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC1500XRegistered Nurse - Community Health R197247 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Nicole Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Nicole Wallace, RN
2002 Denbury Dr,
Dundalk, MD 21222-4603

Ph: (410) 419-7151
Jennifer Nicole Wallace, RN
2002 Denbury Dr,
Dundalk, MD 21222-4603

Ph: (410) 419-7151

Reviews and Comments


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