Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jennifer Marie Wallace, NURSE PRACTITIONER

Gerontology Nurse Practitioner in Deptford, NJ · enumerated 2022.

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

National Provider Identifier

1790412591

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Registry record

Entity type Individual (Type 1)

Name Jennifer Marie Wallace

Credential NURSE PRACTITIONER

Sex Female

Practice address 202 Cabot Ct, Deptford, NJ, 08096

Phone (856) 885-4579

Enumeration date Aug 2, 2022

Last updated in NPPES Aug 2, 2022

Taxonomy & licenses

363LG0600X Gerontology Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 26NJ01341100 (NJ) Primary

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

Where does Jennifer Wallace practice?

The practice location on file with NPPES is in Deptford, NJ. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jennifer Wallace?

The National Provider Identifier (NPI) for Jennifer Wallace is 1790412591, a Type 1 (individual) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-02.