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

Jacquelyn C Wallander, DNPCRNP

Individual provider Adult Health Nurse Practitioner · NPI 1063180792

Jacquelyn C Wallander, DNPCRNP is a Nurse Practitioner in Prince Frederick, Maryland. Qualified in 2021, 5 years ago. Practices with Calvert Internal Medicine Group, PA, a 40-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2021

Practice location Address checks out

985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-3492
Phone: (410) 414-5329
Fax: (410) 535-4850
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence R227415 (MD)

Record details

NPI number1063180792
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPCRNP
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021
Mailing address985 Prince Frederick Blvd Suite 201, Prince Frederick, MD 20678-3492

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Calvert Internal Medicine Group, Pa — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Prince Frederick