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

Jean A. Wallace, NP

Individual provider Neonatal Nurse Practitioner · NPI 1144480088

Jean A. Wallace, NP is a Neonatal Nurse Practitioner in Manhasset, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

300 Community Dr
Manhasset, NY 11030-3816
Phone: (516) 562-4665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence F350149 (NY)

Record details

NPI number1144480088
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedJune 13, 2008
Last updated in NPPESJune 13, 2008
Mailing address130 Elmwood Dr, Dix Hills, NY 11746-5658

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