Jacob Wallace
A.P.R.N | Nurse Practitioner - Gerontology
630 E 1400 N Ste 135, Logan
Utah, 84341-2549
435-787-8146
Jacob Wallace is a Logan, Utah based nurse practitioner who is specialized as Gerontology nurse. Active license number of Jacob Wallace is 7205712-4405 for Family in Utah. His current practice location is 630 E 1400 N Ste 135, Logan. Patients can reach him at 435-787-8146 or can fax him at 435-787-8149. Jacob Wallace is A.P.R.N with specialization in Gerontology and his NPI number (Unique professional ID assigned by NPPES) is 1639915911.
Jacob Wallace is specially trained to treat the complex physical and mental health needs of older adults. He have the right to administer medications, order and assess diagnostic tests, and design and implement comprehensive treatment plans for his patients.
Adult Gerontology Nurse Practitioner (AGNP) day-to-day responsibilities include helping older patients with daily tasks like eating, bathing, dressing, and walking, administering medications, monitoring vital signs, cooperating with physicians, other advanced nurse practitioners, and registered nurses.
Complete Profile:
Jacob Wallace speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jacob Wallace |
| Specialization: | Gerontology Nurse Practitioner (AGNP) |
| Gender: | Male |
| Credentials: | A.P.R.N |
| Practice Address: | 630 E 1400 N Ste 135, Logan,
Utah, 84341-2549 |
| Phone: | 435-787-8146 |
| Fax: | 435-787-8149 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1639915911 |
| NPI Enumeration Date: | 05 Jul, 2024 |
| NPI Last Update On: | 23 Aug, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacob Wallace are as mentioned below.
| License Number | Specialization | State | Status | |
| 7205712-4405 | Family | Utah | Primary | |
| 7205712-4405 | Gerontology | Utah | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jacob Wallace
Po Box 912042,
St George, Utah |
| Zip: | 84791-2042 |
| Phone Number: | 435-215-0230 |
| Fax Number: | 435-986-7092 |
Patients can reach Jacob Wallace at
630 E 1400 N Ste 135, Logan, Utah or can
call to book an appointment on 435-787-8146.
Comments/ Reviews:
Patients can read all the reviews posted for Jacob Wallace below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Jacob Wallace. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.