JACOB COLE WALLACE
NPI 1710807565
Registered Nurse - Emergency in Odessa, TX
About Jacob Cole Wallace NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB COLE WALLACE (NPI 1710807565) is an individual emergency provider in Odessa, Texas, licensed in Texas (1160284) and active in the NPI registry since July 2026.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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.
ODESSA, TX 79761
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 Jacob Wallace's NPI number?
The NPI number for Jacob Wallace is 1710807565. It was assigned to this individual provider in the NPPES registry on July 20, 2026.
Where is Jacob Wallace located?
Jacob Wallace practices at 500 W 4th St, Odessa, TX 79761. The listed phone number is (432) 640-4000.
What is Jacob Wallace's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Emergency, with taxonomy code 163WE0003X.
When was this NPI record last updated?
The NPPES record for Jacob Wallace was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
