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

Dr. Jessica Ann Wallenmeyer, MD

Individual provider Pediatrics Physician · NPI 1992095640

Dr. Jessica Ann Wallenmeyer, MD is a Pediatrics Physician in Edmond, Oklahoma. Licensed in Oklahoma and Texas. Registered with an NPI since 2011.

Licensed in
OK, TX
In the registry since
2011
Specialties on file
2
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

2109 N Kelly Ave
Edmond, OK 73003-3908
Phone: (405) 513-8880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 31309 (OK)
Pediatrics Physician Taxonomy 208000000X · Licence P6106 (TX)

Record details

NPI number1992095640
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2011
Last updated in NPPESAugust 24, 2015

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