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

Jeanne M Wallace, PHD

Individual provider Nutritionist · NPI 1285911032

Jeanne M Wallace, PHD is a Nutritionist in North Logan, Utah. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1697 E 3450 N
North Logan, UT 84341-8310
Phone: (435) 563-0053
Fax: (435) 538-8058
Show map & directions

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

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1285911032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 8, 2011
Last updated in NPPESNovember 8, 2011
Mailing address1697 East 3450 North, North Logan, UT 84341