SearchNew JerseyGerontology Nurse Practitioner

Jennifer Wallace, NURSE PRACTITIONER

NPI 1790412591 · on the registry since 2022

Practice

Address
202 Cabot Ct
Deptford, NJ 08096
Phone
(856) 885-4579

Additional practice sites

  • 36 Walker Rd, West Orange, NJ
  • 36 Walker Rd, West Orange, NJ

Registry record

Primary taxonomy
Gerontology Nurse Practitioner
363LG0600X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey