Jennifer Marie Wallace, NURSEPRACTITIONER
Jennifer Marie Wallace, NURSEPRACTITIONER is a Nurse Practitioner in Deptford, New Jersey. Qualified in 2022, 4 years ago. Practices with Nurse Practitioner Professional Resources, a 13-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.
- Years since qualifying
- 4
- Licensed in
- NJ
- In the registry since
- 2022
Practice location Address checks out
202 Cabot CtDeptford, NJ 08096-5114
Phone: (856) 885-4579
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 36 Walker Rd, West Orange, NJ 07052-4403 — (973) 715-5586
- 36 Walker Rd, West Orange, NJ 07052-4403 — (973) 715-5586
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 26NJ01341100 (NJ) |
|---|
Record details
| NPI number | 1790412591 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NURSEPRACTITIONER |
| Sole proprietor | No |
| NPI enumerated | August 2, 2022 |
| Last updated in NPPES | August 2, 2022 |
| Certification date | August 2, 2022 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Nurse Practitioner Professional Resources — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |