Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jenna Rose Wallace, DNP, APRN, CNP

Individual provider Family Nurse Practitioner · NPI 1093236572

Dr. Jenna Rose Wallace, DNP, APRN, CNP is a Nurse Practitioner in West Fargo, North Dakota. Qualified in 2017, 9 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
9
Licensed in
ND
In the registry since
2017
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone: (701) 234-4445
Fax: (701) 234-4456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R37792 (ND)

Record details

NPI number1093236572
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , APRN , CNP
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESJuly 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in West Fargo