Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jacqueline Wallace, RN

Registered Nurse in Providence, RI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710920376

Verified

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Registry record

Entity type Individual (Type 1)

Name Jacqueline Wallace

Credential RN

Sex Female

Practice address 530 N Main St, Providence, RI, 02904

Phone (401) 276-4100

Enumeration date Jun 13, 2006

Last updated in NPPES Jul 25, 2008

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License RN12564 (RI) Primary

RN · Registered Nurse: A nurse who completed an accredited nursing program and passed the NCLEX-RN licensure exam. About the RN credential

Other identifiers

Identifier	Type	State	Issuer
JW03509	Medicaid	RI	-
1104847946	Other	RI	THE PROVIDENCE CENTER NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Jacqueline Wallace's NPI record?

Cross-check NPI 1710920376 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1710920376 active?

Yes, as of the latest NPPES snapshot, NPI 1710920376 is active (record last updated 2008-07-25).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-25.