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Provider Profile

Jailene Wallace, FNP-C

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At a glance

About Jailene Wallace

Listed in the NPI registry as a nurse practitioner — family, Jailene Wallace, FNP-C practices in Providence, RI. Jailene is also listed as specializing in family medicine — geriatric medicine. NPI 1891678702 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2024

Credentials & Licensing

RI licenceAs reported to the NPI registry
No. APRN04646As reported
NPINational Provider Identifier
1891678702Issued 2025

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jailene Wallace specialize in?

Jailene Wallace is a nurse practitioner in Providence, RI. That is the designation recorded for this NPI in the federal registry, where it is listed as “Nurse Practitioner — Family”.

NPI registry

Where is Jailene Wallace located?

Jailene Wallace is listed at 712 Broad St, Providence, RI 02907. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jailene Wallace's phone number?

The number on file is (401) 233-5060. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jailene Wallace's NPI number?

Jailene Wallace's National Provider Identifier is 1891678702. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jailene Wallace train?

Jailene Wallace attended Other, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How long has Jailene Wallace been practicing?

Jailene Wallace has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Has Jailene Wallace confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jailene Wallace. If this is you, claiming it is free.

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