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

Individual provider Acute Care Nurse Practitioner · NPI 1386279032

Jenelle Wallis, APRN is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2019, 7 years ago. Practices with St Vincent Infirmary Medical Center, a 46-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
7
Licensed in
AR
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

10100 Kanis Rd
Little Rock, AR 72205-6202
Phone: (501) 255-6000
Fax: (501) 255-6400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 124001 (AR)

Record details

NPI number1386279032
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Vincent Infirmary Medical Center — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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