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

Jordyn Wallace, CRNP

Individual provider Family Nurse Practitioner · NPI 1538810734

Jordyn Wallace, CRNP is a Nurse Practitioner in King of Prussia, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Roy M Lerman M D P C, a 14-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2022
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

700 S Henderson Rd Ste 198
King of Prussia, PA 19406-3530
Phone: (267) 699-3900
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 SP024856 (PA)

Record details

NPI number1538810734
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedJanuary 10, 2022
Last updated in NPPESJanuary 10, 2022
Certification dateJanuary 10, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Roy M Lerman M D P C — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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