Jeanne M Wallace, APRN is a
Clinical Nurse Specialist - Gerontology based in Oro Valley, Arizona. Jeanne M Wallace is licensed to practice in Arizona (license number 322628) and her current practice location is
360 E Four Horses Cir, Oro Valley, Arizona. She can be reached at her office (for appointments etc.) via phone at
(716) 307-5818.
NPI number for Jeanne M Wallace is 1194607853 and her current mailing address is 360 E Four Horses Cir, Oro Valley, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194607853.
Provider's Profile
Full Name | Jeanne M Wallace |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Gerontology |
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Location | 360 E Four Horses Cir, Oro Valley, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194607853
- Provider Enumeration Date: 07/23/2025
- Last Update Date: 07/23/2025
Medical Identifiers
Medical identifiers for Jeanne M Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194607853 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SG0600X | Clinical Nurse Specialist - Gerontology | 322628 (Arizona) | Primary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 322628 (Arizona) | 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. Jeanne 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 |
Jeanne M Wallace, APRN 360 E Four Horses Cir, Oro Valley, AZ 85704-7209 Ph: (716) 307-5818 | Jeanne M Wallace, APRN 360 E Four Horses Cir, Oro Valley, AZ 85704-7209 Ph: (716) 307-5818 |
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