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JAILENE WALLACE, FNP-C

FNP-C

Family Nurse Practitioner

NPI: 1891678702IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Practitioner — Family

Code: 363LF0000X

APRN04646(RI)

Family Medicine — Geriatric Medicine

Code: 207QG0300X

APRN04646(RI)

CMS Specialties

Education

OTHER

Class of 2024

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Contact & Hours

Address
712 BROAD ST
PROVIDENCE, RI 02907

Quick Facts

NPI
1891678702
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
2

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