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

Jackylin Jill Wallace

Individual provider Community Health Worker · NPI 1073247912

Jackylin Jill Wallace is a Community Health Worker in Lake Isabella, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone: (760) 379-3412
Fax: (760) 379-5332
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (CA)

Record details

NPI number1073247912
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2022
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

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