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JENNIFER WALLACE
NPI 1124551247
Dietitian, Registered in Germantown, TN

Active since April 05, 2017
2100 EXETER RD, GERMANTOWN, TN 38138(901) 757-1350(901) 757-3496 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER WALLACE (NPI 1124551247) is an individual dietitian, registered in Germantown, Tennessee, licensed in Tennessee (1977) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1124551247
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameJENNIFER WALLACE
Location Address2100 EXETER RDGermantown, TN 38138-3966
Mailing AddressPo Box 405827Atlanta, GA 30384-5800
Phone(901) 757-1350
Fax(901) 757-3496
Sole ProprietorNo
Enumeration DateApril 5, 2017
✔ NPI 1124551247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TN · 1977
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2100 EXETER RD, Germantown, TN 38138
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BEVERLY MALONE OT
Occupational Therapist
2100 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 757-1350
DR. CHARLES ALBERT CAPE M.D
Psychiatry & Neurology (Vascular Neurology)
2100 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 757-1350
MS. JENNY L DOZA PT
Physical Therapist
2100 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 757-1350
JOSEPHINE YU LI PT
Physical Therapist
2100 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 757-1350
CAROLYN WOODARD OT
Occupational Therapist
2100 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 757-1350
AMANDA RENEE BURKE O.T.
Occupational Therapist
2100 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 385-3877
JUSTIN MORGAN HALL OT
Occupational Therapist
2100 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 757-1350
CASSIE HANSON OTD, OTR/L
Occupational Therapist
2100 EXETER RD
GERMANTOWN, TN 38138
Shelby County (901) 757-1350

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1124551247. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 2100 Exeter Rd, Germantown, TN 38138. The listed phone number is (901) 757-1350.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.