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JENNIFER M WALLACE NP
NPI 1235379090
Nurse Practitioner in Springfield, MA

Active since March 05, 2009
3640 MAIN ST, SUITE 302, SPRINGFIELD, MA 01107(413) 732-4242(413) 732-4040 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer M Wallace Np NPPES

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

JENNIFER M WALLACE NP (NPI 1235379090) is an individual nurse practitioner in Springfield, Massachusetts, licensed in Massachusetts (RN218174) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1235379090
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER M WALLACECredential: NP
Location Address3640 MAIN ST, SUITE 302Springfield, MA 01107-1145
Mailing Address3640 Main St, Suite 302Springfield, MA 01107-1145 · (413) 732-4242 · Fax (413) 732-4040
Phone(413) 732-4242
Fax(413) 732-4040
Sole ProprietorNo
Enumeration DateMarch 5, 2009
Last NPPES UpdateApril 21, 2016
✔ NPI 1235379090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MA · RN218174
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3640 MAIN ST, Springfield, MA 01107
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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.

VALLEY MEDICAL ASSOCIATES, PC
Internal Medicine
3640 MAIN ST, SUITE 207
SPRINGFIELD, MA 01107
Hampden County (413) 739-0669
MARIANNE E LANGLOIS PA-C
Physician Assistant
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242
DR. RONALD J GAILUN MD
Ophthalmology
3640 MAIN ST, STE 201
SPRINGFIELD, MA 01107
Hampden County (413) 732-2333
DR. JASON L. PORT M.D.
Radiology (Neuroradiology)
3640 MAIN ST, SUITE 101
SPRINGFIELD, MA 01107
Hampden County (413) 781-9000
K. FRANCIS LEE, M.D., P.C.
Surgery
3640 MAIN ST, SUITE 302
SPRINGFIELD, MA 01107
Hampden County (413) 732-4242
DR. GREGORY J FAUST M.D.
Specialist
3640 MAIN ST, SUITE 205
SPRINGFIELD, MA 01107
Hampden County (413) 739-7367
PEDIATRIC GASTROENTEROLOGY AND NUTRITION GROUP, P.C.
Pediatrics (Pediatric Gastroenterology)
3640 MAIN ST, SUITE 204
SPRINGFIELD, MA 01107
Hampden County (413) 304-2650
DR. DAVID DIRAN AGAHIGIAN M.D.
Ophthalmology
3640 MAIN ST, SUITE 201
SPRINGFIELD, MA 01107
Hampden County (413) 732-2333

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 1235379090. It was assigned to this individual provider in the NPPES registry on March 5, 2009.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 3640 Main St Suite 302, Springfield, MA 01107. The listed phone number is (413) 732-4242.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on April 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.