JEANNE M WALLACE APRN
NPI 1194607853
Clinical Nurse Specialist - Gerontology in Oro Valley, AZ

Active since July 23, 2025
360 E FOUR HORSES CIR, ORO VALLEY, AZ 85704(716) 307-5818 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanne M Wallace Aprn NPPES

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

JEANNE M WALLACE APRN (NPI 1194607853) is an individual gerontology provider in Oro Valley, Arizona, licensed in Arizona (322628) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1194607853
Entity TypeIndividualFemale
Primary Taxonomy364SG0600X
Provider Legal NameJEANNE M WALLACECredential: APRN
Location Address360 E FOUR HORSES CIROro Valley, AZ 85704-7209
Mailing Address360 E Four Horses CirOro Valley, AZ 85704-7209 · (716) 307-5818
Sole ProprietorNo
Enumeration DateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
NPI 1194607853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License Licensed in AZ · 322628
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License 322628 (AZ)
360 E FOUR HORSES CIR, Oro Valley, AZ 85704

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 Jeanne Wallace's NPI number?

The NPI number for Jeanne Wallace is 1194607853. It was assigned to this individual provider in the NPPES registry on July 23, 2025.

Where is Jeanne Wallace located?

Jeanne Wallace practices at 360 E Four Horses Cir, Oro Valley, AZ 85704. The listed phone number is (716) 307-5818.

What is Jeanne Wallace's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

When was this NPI record last updated?

The NPPES record for Jeanne Wallace was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.