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

Jenny Wallace

Individual provider Family Nurse Practitioner · NPI 1164379186

Jenny Wallace is a Family Nurse Practitioner in Annapolis, Maryland. Licensed in Maryland. Registered with an NPI since 2026.

Licensed in
MD
In the registry since
2026

Practice location Address checks out

121 Old Solomons Island Rd
Annapolis, MD 21401-4367
Phone: (410) 224-3663
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R215037 (MD)

Record details

NPI number1164379186
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMarch 11, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address121 Old Solomons Island Rd, Annapolis, MD 21401-4367

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