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JENNY WALLACE
NPI 1164379186
Nurse Practitioner - Family in Annapolis, MD

Active since March 11, 2026
121 OLD SOLOMONS ISLAND RD, ANNAPOLIS, MD 21401(410) 224-3663 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jenny Wallace NPPES

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

JENNY WALLACE (NPI 1164379186) is an individual family provider in Annapolis, Maryland, licensed in Maryland (R215037) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1164379186
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameJENNY WALLACE
Location Address121 OLD SOLOMONS ISLAND RDAnnapolis, MD 21401-4367
Mailing Address121 Old Solomons Island RdAnnapolis, MD 21401-4367 · (410) 224-3663
Phone(410) 224-3663
Sole ProprietorNo
Enumeration DateMarch 11, 2026
NPPES CertifiedMarch 11, 2026
✔ NPI 1164379186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R215037
121 OLD SOLOMONS ISLAND RD, Annapolis, MD 21401
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Other Providers at the Same Location NPPES 4

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

OLIVIA RACHEL WEBB PA-C
Physician Assistant
121 OLD SOLOMONS ISLAND RD
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-3663
CHESAPEAKE PEDIATRICS LLC
Pediatrics
121 OLD SOLOMONS ISLAND RD
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-3663
VICTORIA JASMINE TRUITT FNP-BC
Nurse Practitioner (Family)
121 OLD SOLOMONS ISLAND RD
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-3663
DR. PERRY S SHELTON MD
Pediatrics
121 OLD SOLOMONS ISLAND RD
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-3663

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 Jenny Wallace's NPI number?

The NPI number for Jenny Wallace is 1164379186. It was assigned to this individual provider in the NPPES registry on March 11, 2026.

Where is Jenny Wallace located?

Jenny Wallace practices at 121 Old Solomons Island Rd, Annapolis, MD 21401. The listed phone number is (410) 224-3663.

What is Jenny Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jenny Wallace was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.