JATEYA WALLACE LPN
NPI 1851142665
Licensed Practical Nurse in Wickliffe, OH

Active since March 29, 2024
1630 RIDGEWICK DR, WICKLIFFE, OH 44092(440) 687-7023 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jateya Wallace Lpn NPPES

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

JATEYA WALLACE LPN (NPI 1851142665) is an individual licensed practical nurse in Wickliffe, Ohio, licensed in Ohio (178345) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1851142665
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJATEYA WALLACECredential: LPN
Location Address1630 RIDGEWICK DRWickliffe, OH 44092-1629
Mailing Address1630 Ridgewick DrWickliffe, OH 44092-1629 · (440) 687-7023
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
NPI 1851142665 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 OH · 178345
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.
1630 RIDGEWICK DR, Wickliffe, OH 44092

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 Jateya Wallace's NPI number?

The NPI number for Jateya Wallace is 1851142665. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Jateya Wallace located?

Jateya Wallace practices at 1630 Ridgewick Dr, Wickliffe, OH 44092. The listed phone number is (440) 687-7023.

What is Jateya Wallace'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 Jateya Wallace was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.