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

Jena Wallace

Individual provider Family Nurse Practitioner · NPI 1699122820

Jena Wallace is a Nurse Practitioner in Lenoir, North Carolina. Qualified in 2016, 10 years ago. Practices with North Big Horn Hospital District, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2016
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Practice location Address checks out

322 Mulberry St SW Ste A
Lenoir, NC 28645-5703
Phone: (828) 757-6460
Fax: (828) 759-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 319 Springwood Dr Ne, Valdese, NC 28690-8710 — (828) 874-2251

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 253837 (NC)

Record details

NPI number1699122820
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2016
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021
Mailing address1853 18th Street Ct Ne, Hickory, NC 28601-0533

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice North Big Horn Hospital District — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lenoir