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DR. JENNIFER WALLACE M.D.
NPI 1912977885
Pediatrics in Gilbert, AZ

Active since January 24, 2006
2550 E GUADALUPE RD, #115, GILBERT, AZ 85234(480) 632-1544(480) 632-1533 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer Wallace M.d. NPPES

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

DR. JENNIFER WALLACE M.D. (NPI 1912977885) is an individual pediatrics provider in Gilbert, Arizona, licensed in Arizona (31229) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1912977885
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JENNIFER WALLACECredential: M.D.
Location Address2550 E GUADALUPE RD, #115Gilbert, AZ 85234-5114
Mailing Address6301 S Mcclintock Dr, #101Tempe, AZ 85283-3392 · (480) 214-2300 · Fax (480) 214-2301
Phone(480) 632-1544
Fax(480) 632-1533
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1912977885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AZ · 31229
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2550 E GUADALUPE RD, Gilbert, AZ 85234
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Other Identifiers 6

Other8311240AZ · Dept. Of Economic Securit
OtherAZ0734620AZ · Blue Cross Blue Shield
Other00024623AZ · Banner Health Plan
Other1Z9881AZ · Healthnet
Other031229AZ · Mayo Insurance
Medicaid831124AZ

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBIN LAKS M.D.
Pediatrics
2550 E GUADALUPE RD, #115
GILBERT, AZ 85234
Maricopa County (480) 214-2300
JAMES SMITH M.D.
Pediatrics
2550 E GUADALUPE RD, #115
GILBERT, AZ 85234
Maricopa County (480) 214-2300
MICHELLE M SZYMANOWSKI WHNP-BC
Nurse Practitioner (Women's Health)
2550 E GUADALUPE RD, SUITE 109
GILBERT, AZ 85234
Maricopa County (480) 505-4475
MR. STEVEN R REEDER MD
Family Medicine
2550 E GUADALUPE RD, #107
GILBERT, AZ 85234
Maricopa County (480) 964-5800
PEDIATRIC DENTAL SPECIALISTS, PPC
Dentist (Pediatric Dentistry)
2550 E GUADALUPE RD, SUITE 101
GILBERT, AZ 85234
Maricopa County (480) 558-0777
STEPHANIE C MAYES MD
Obstetrics & Gynecology
2550 E GUADALUPE RD, SUITE 109
GILBERT, AZ 85234
Maricopa County (480) 505-4475
WILLIAM B. GAUSE P.A.-C
Physician Assistant (Medical)
2550 E GUADALUPE RD, #115
GILBERT, AZ 85234
Maricopa County (480) 632-1544
MRS. STEFANIE ANN LAYSTROM PA-C
Physician Assistant
2550 E GUADALUPE RD, STE. 115
GILBERT, AZ 85234
Maricopa County (480) 632-1544

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 Jennifer Wallace's NPI number?

The NPI number for Jennifer Wallace is 1912977885. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Jennifer Wallace located?

Jennifer Wallace practices at 2550 E Guadalupe Rd #115, Gilbert, AZ 85234. The listed phone number is (480) 632-1544.

What is Jennifer Wallace's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jennifer Wallace was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.