Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

David Jermaine Wallace

Individual provider Registered Nurse · NPI 1891690574

David Jermaine Wallace is a Registered Nurse in Chula Vista, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

751 Medical Center Ct
Chula Vista, CA 91911-6617
Phone: (619) 502-5855
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 852582 (CA)

Record details

NPI number1891690574
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 12, 2026
Last updated in NPPESOctober 12, 2026
Certification dateOctober 12, 2026

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