JONELLE WALLACE APRN, NP-C
NPI 1417642364
Nurse Practitioner in Columbia, MD

Q: What is Jonelle Wallace's NPI number?

The NPI number for Jonelle Wallace is 1417642364. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Q: What is Jonelle Wallace's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jonelle Wallace was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 06, 2023

10175 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044(800) 328-5979 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jonelle Wallace Aprn, Np-c NPPES

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

JONELLE WALLACE APRN, NP-C (NPI 1417642364) is an individual nurse practitioner in Columbia, Maryland, licensed in Connecticut (11314) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1417642364

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJONELLE WALLACECredential: APRN, NP-C

Location Address10175 LITTLE PATUXENT PKWYColumbia, MD 21044-2655

Mailing AddressPo Box 1459Minneapolis, MN 55440-1459

Phone(800) 328-5979

Sole ProprietorNo

Enumeration DateApril 6, 2023

NPPES CertifiedApril 5, 2023

✔ NPI 1417642364 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 CT · 11314

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.

10175 LITTLE PATUXENT PKWY, Columbia, MD 21044

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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.

JENNIFER JOY HRYNKO MSN, CRNP, RN

Nurse Practitioner (Adult Health)