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

Jordan Malik Wallace

Individual provider Case Manager/Care Coordinator · NPI 1366142101

Jordan Malik Wallace is a Case Manager/Care Coordinator in Washington, District of Columbia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1313 New York Ave NW
Washington, DC 20005-4701
Phone: (202) 737-6191
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1366142101
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 9, 2023
Last updated in NPPESMarch 9, 2023
Certification dateMarch 9, 2023

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