Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JALISA WALLER LPN
NPI 1790698538
Licensed Practical Nurse in Rochester, NY

Q: What is Jalisa Waller's NPI number?

The NPI number for Jalisa Waller is 1790698538. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Q: What is Jalisa Waller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jalisa Waller was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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 September 23, 2026

43 CREST HILL DR, ROCHESTER, NY 14624(585) 759-8189 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Jalisa Waller Lpn NPPES

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

JALISA WALLER LPN (NPI 1790698538) is an individual licensed practical nurse in Rochester, New York, licensed in New York (357089) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1790698538

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJALISA WALLERCredential: LPN

Location Address43 CREST HILL DRRochester, NY 14624-1403

Mailing Address43 Crest Hill DrRochester, NY 14624-1403 · (585) 759-8189

Phone(585) 759-8189

Sole ProprietorYes

Enumeration DateSeptember 23, 2026

NPPES CertifiedSeptember 23, 2026

✔ NPI 1790698538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 357089

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

43 CREST HILL DR, Rochester, NY 14624

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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 Jalisa Waller's NPI number?

The NPI number for Jalisa Waller is 1790698538. It was assigned to this individual provider in the NPPES registry on September 23, 2026.

Where is Jalisa Waller located?

Jalisa Waller practices at 43 Crest Hill Dr, Rochester, NY 14624. The listed phone number is (585) 759-8189.

What is Jalisa Waller's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jalisa Waller was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.