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Dr. Jennifer Wallace, M.D.

Pediatrics Physician in Gilbert, AZ · enumerated 2006.

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

National Provider Identifier

1912977885

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Registry record

Entity type Individual (Type 1)
Name Dr. Jennifer Wallace
Credential M.D.
Sex Female
Practice address 2550 E Guadalupe Rd, #115, Gilbert, AZ, 85234
Fax (480) 632-1533
Enumeration date Jan 24, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 31229 (AZ) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
031229 Other AZ MAYO INSURANCE
8311240 Other AZ DEPT. OF ECONOMIC SECURIT
831124 Medicaid AZ -
AZ0734620 Other AZ BLUE CROSS BLUE SHIELD
1Z9881 Other AZ HEALTHNET
00024623 Other AZ BANNER HEALTH PLAN

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.

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Frequently asked questions

Where does Jennifer Wallace practice?
The practice location on file with NPPES is in Gilbert, AZ. 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 1912977885, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.