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

MS. Jessica Dene Wallace, CNM

Individual provider Advanced Practice Midwife · NPI 1760100028

MS. Jessica Dene Wallace, CNM is a Certified Nurse Midwife (CNM) in Tuba City, Arizona. Qualified in 2022, 4 years ago. Practices with Tuba City Regional Health Care Corporation, a 162-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

167 N Main St
Tuba City, AZ 86045-0600
Phone: (928) 283-2501
Fax: (928) 283-2677
Show map & directions

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

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence CNM278747 (AZ)

Record details

NPI number1760100028
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorYes
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 22, 2022
Certification dateMay 28, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tuba City Regional Health Care Corporation — 162 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tuba City