JENNIFER WALLER FNP
NPI 1366309429
Nurse Practitioner - Family in Sparta, NJ

Active since January 08, 2026
77 STANHOPE RD, SPARTA, NJ 07871(201) 245-0599 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jennifer Waller Fnp NPPES

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

JENNIFER WALLER FNP (NPI 1366309429) is an individual family provider in Sparta, New Jersey, licensed in New Jersey (26NJ15470600) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1366309429
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER WALLERCredential: FNP
Location Address77 STANHOPE RDSparta, NJ 07871-2238
Mailing Address77 Stanhope RdSparta, NJ 07871-2238 · (201) 245-0599
Sole ProprietorYes
Enumeration DateJanuary 8, 2026
NPPES CertifiedJanuary 8, 2026
✔ NPI 1366309429 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 NJ · 26NJ15470600
77 STANHOPE RD, Sparta, NJ 07871

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 Waller's NPI number?

The NPI number for Jennifer Waller is 1366309429. It was assigned to this individual provider in the NPPES registry on January 8, 2026.

Where is Jennifer Waller located?

Jennifer Waller practices at 77 Stanhope Rd, Sparta, NJ 07871. The listed phone number is (201) 245-0599.

What is Jennifer Waller'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 Jennifer Waller was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.