Search › Rhode Island › 363LF0000X
Jailene Wallace, FNP-C
NPI 1891678702 · on the registry since 2025
Practice
- Address
- 712 Broad St
Providence, RI 02907 - Phone
- (401) 233-5060
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 207QG0300X
- Licence states on file
- RI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-15
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 Rhode Island