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

Mrs. Jessica Renee Wallace, APRN-CNP

Individual provider Nurse Practitioner · NPI 1871089680

Mrs. Jessica Renee Wallace, APRN-CNP is a Nurse Practitioner in Springfield, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

1821 E High St
Springfield, OH 45505
Phone: (937) 323-7340
Fax: (937) 323-3363
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 021995 (OH)

Record details

NPI number1871089680
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorNo
NPI enumeratedJuly 4, 2018
Last updated in NPPESJanuary 3, 2019

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