Mrs Jennifer M Wallace, MED is a
Social Worker based in Henderson, Nevada. Mrs Jennifer M Wallace is licensed to practice in Nevada (license number 00561-A) and her current practice location is
2298 W Horizon Ridge Pkwy, Suite 109, Henderson, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 363-7284.
NPI number for Mrs Jennifer M Wallace is 1093927907 and her current mailing address is 2298 W Horizon Ridge Pkwy, Suite 109, Henderson, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093927907.
Healthcare Provider's Profile
| Full Name | Mrs Jennifer M Wallace |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 2298 W Horizon Ridge Pkwy, Henderson, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093927907
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 09/11/2025
Medical Identifiers
Medical identifiers for Mrs Jennifer M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093927907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1118L (Nevada) | Secondary |
| 104100000X | Social Worker | 00561-A (Nevada) | Primary |
| 106H00000X | Marriage & Family Therapist | R05387 (Nevada) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer M Wallace is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Jennifer M Wallace, MED 2298 W Horizon Ridge Pkwy, Suite 109, Henderson, NV 89052-2696 Ph: (702) 363-7284 | Mrs Jennifer M Wallace, MED 2298 W Horizon Ridge Pkwy, Suite 109, Henderson, NV 89052-2696 Ph: (702) 363-7284 |
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