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JAILENE WALLACE, FNP-C
FNP-C
Family Nurse Practitioner
NPI: 1891678702IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
APRN04646(RI)
Geriatric Medicine (Family Medicine) Physician
Family Medicine — Geriatric Medicine
Code: 207QG0300X
APRN04646(RI)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2024
Contact & Hours
- Address
- 712 BROAD ST
PROVIDENCE, RI 02907 - Phone
- (401) 233-5060
Quick Facts
- NPI
- 1891678702
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 2
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