JENNA E WALLACE PSYD
NPI 1619364346
Psychologist in Hurricane, WV
About Jenna E Wallace Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA E WALLACE PSYD (NPI 1619364346) is an individual psychologist in Hurricane, West Virginia and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jenna E Wallace Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
HURRICANE, WV 25526
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 Jenna Wallace's NPI number?
The NPI number for Jenna Wallace is 1619364346. It was assigned to this individual provider in the NPPES registry on April 21, 2015.
Where is Jenna Wallace located?
Jenna Wallace practices at 3729 Teays Valley Rd Ste 100, Hurricane, WV 25526. The listed phone number is (304) 760-6040.
What is Jenna Wallace's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Jenna Wallace enrolled in Medicare?
Yes. Jenna Wallace is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jenna Wallace was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.