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

Dr. Jennifer Wallace, MD

Individual provider Pediatrics Physician · NPI 1912977885

Dr. Jennifer Wallace, MD is a Pediatrics Physician in Gilbert, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2550 E Guadalupe Rd #115
Gilbert, AZ 85234-5114
Phone: (480) 632-1544
Fax: (480) 632-1533
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 31229 (AZ)

Record details

NPI number1912977885
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 24, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6301 S McClintock Dr, 101, Tempe, AZ 85283-3392

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