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

Jateya Wallace, LPN

Individual provider Licensed Practical Nurse · NPI 1851142665

Jateya Wallace, LPN is a Licensed Practical Nurse in Wickliffe, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

1630 Ridgewick Dr
Wickliffe, OH 44092-1629
Phone: (440) 687-7023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 178345 (OH)

Record details

NPI number1851142665
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorNo
NPI enumeratedMarch 29, 2024
Last updated in NPPESMarch 29, 2024
Certification dateMarch 29, 2024
Mailing address1630 Ridgewick Dr, Wickliffe, OH 44092-1629

Other providers in Wickliffe