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Provider Profile

Jerrol B. Wallace, CRNA

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At a glance

About Jerrol Wallace

Jerrol B. Wallace, CRNA is a certified registered nurse anesthetist (crna) practicing in Baltimore, MD. Jerrol trained at Duke University School of Medicine, graduating in 2014. Jerrol is also listed as specializing in certified registered nurse anesthetist. This provider record is associated with NPI 1316084932.

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

Credentials & Licensing

MD licenceAs reported to the NPI registry
No. R246272As reported
VA licenceAs reported to the NPI registry
No. 0024167758As reported
NPINational Provider Identifier
1316084932Issued 2007

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo

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 Jerrol B. Wallace specialize in?

Jerrol B. Wallace is a certified registered nurse anesthetist (crna) in Baltimore, MD. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jerrol B. Wallace located?

Jerrol B. Wallace is listed at 4940 Eastern Ave, Baltimore, MD 21224. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jerrol B. Wallace's phone number?

The number on file is (410) 550-0100. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jerrol B. Wallace's NPI number?

Jerrol B. Wallace's National Provider Identifier is 1316084932. 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 Jerrol B. Wallace train?

Jerrol B. Wallace attended Duke University School of Medicine, graduating in 2014. This comes from the CMS National Downloadable File.

CMS public data

How long has Jerrol B. Wallace been practicing?

Jerrol B. Wallace has 12 years experience. Calculated from a graduation year of 2014, reported in the CMS National Downloadable File.

CMS public data

Has Jerrol B. Wallace confirmed this information?

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

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