Jacqueline Wallace in Providence - Registered Nurse
Jacqueline Wallace - NPI 1710920376
Jacqueline Wallace is a Registered Nurse in Providence, Rhode Island. Jacqueline Wallace practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Jacqueline Wallace is 1710920376. The last update date is 2008-07-25.
Jacqueline Wallace's current location address is 530 N Main St, Providence, Rhode Island. You can contact this provider via phone number 4012764100. The mailing address for Jacqueline Wallace is 530 N Main St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Wallace |
|---|---|
| Address | 530 N Main St, Providence, Rhode Island |
| Phone Number | 4012764100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RN |
NPI Number Detail
| NPI Number | 1710920376 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2008-07-25 |
Provider Mailing Address Detail
| Address | 530 N Main St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29045762 |
| Phone Number | 4012764100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Registered Nurse |
|---|---|
| Taxonomy | 163W00000X |
| Licence No | RN12564 |
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Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| JW03509 | RI | -- | |
| 1104847946 | RI | THE PROVIDENCE CENTER NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jacqueline Wallace by the Centers for Medicare & Medicaid Services?
The Jacqueline Wallace has been assigned the NPI (National Provider Identifier) 1710920376 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jacqueline Wallace's facilities are geographically located?
The facilities of Jacqueline Wallace are physically situated at the following location: 530 N Main St, Providence, RI, 29045762.
What is Jacqueline Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacqueline Wallace's area of specialization is Registered Nurse, and the corresponding taxonomy code that categorizes this field of practice is 163W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1710920376 to Jacqueline Wallace?
The Jacqueline Wallace received its 1710920376 assignment from the Centers for Medicare & Medicaid Services on 2006-06-13.
As of what date was the information pertaining to Jacqueline Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jacqueline Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-25.