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

Wendy Jo Wallace, RDN

Individual provider Registered Dietitian · NPI 1124799051

Wendy Jo Wallace, RDN is a Registered Dietitian in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

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Practice location Address checks out

1007 Lovers Ln
Longview, TX 75604-2855
Phone: (903) 261-2269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 831664 (TX)

Record details

NPI number1124799051
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedSeptember 21, 2021
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021

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