DR. JESSICA ANN WALLENMEYER M.D.
NPI 1992095640
Pediatrics in Edmond, OK

Active since April 14, 2011
2109 N KELLY AVE, EDMOND, OK 73003(405) 513-8880 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jessica Ann Wallenmeyer M.d. NPPES

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

DR. JESSICA ANN WALLENMEYER M.D. (NPI 1992095640) is an individual pediatrics provider in Edmond, Oklahoma, licensed in Oklahoma (31309) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1992095640
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. JESSICA ANN WALLENMEYERCredential: M.D.
Location Address2109 N KELLY AVEEdmond, OK 73003-3908
Mailing Address2109 N Kelly AveEdmond, OK 73003-3908
Sole ProprietorNo
Enumeration DateApril 14, 2011
Last NPPES UpdateAugust 24, 2015
NPI 1992095640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in OK · 31309 Licensed in TX · P6106
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.

2109 N KELLY AVE, Edmond, OK 73003

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Pediatrics
2109 N KELLY AVE
EDMOND, OK 73003
Pediatrics
2109 N KELLY AVE
EDMOND, OK 73003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992095640, enumerated as an "individual" on April 14, 2011.

The provider is located at 2109 N KELLY AVE EDMOND, OK 73003 and the phone number is (405) 513-8880.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.