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

Jennifer L Wallace, RN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1417185513

Jennifer L Wallace, RN is a Psychiatric/Mental Health Registered Nurse in Cambridge, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2009.

Licensed in
MA
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

1493 Cambridge St
Cambridge, MA 02139-1047
Phone: (617) 665-1560
Fax: (617) 665-1843
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence RN233633 (MA)

Record details

NPI number1417185513
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedJune 26, 2009
Last updated in NPPESJune 26, 2009
Mailing address1493 Cambridge St, Cambridge, MA 02139-1047

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