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

Jesse Wallace, MD

Individual provider Internal Medicine Physician · NPI 1568531416

Jesse Wallace, MD is an Internal Medicine Physician in Lenoir, North Carolina. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1138 Waterfall Ln
Lenoir, NC 28645-8943
Phone: (702) 102-7922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 19466 (KY)

Record details

NPI number1568531416
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJune 6, 2019
Mailing address1138 Waterfall Ln, Lenoir, NC 28645-8943

Other providers in Lenoir