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

Jordan Wallace, PHARMD

Individual provider Pediatric Hematology & Oncology Physician · NPI 1790538015

Jordan Wallace, PHARMD is a Pediatric Hematology & Oncology Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone: (239) 343-9163
Fax: (239) 343-5321
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 9725 (FL)

Record details

NPI number1790538015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing address9981 S Healthpark Dr, Fort Myers, FL 33908-3618

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