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

Jennifer Katherine Wallace

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053196337

Jennifer Katherine Wallace is a Student in an Organized Health Care Education/Training Program in Binghamton, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4400 Vestal Pkwy E
Binghamton, NY 13902-4601
Phone: (607) 777-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1053196337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2023
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address4400 Vestal Pkwy E, Binghamton, NY 13902-4601

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