Jailene Wallace is a Providence, Rhode Island based nurse practitioner who is specialized as Family nurse. Active license number of Jailene Wallace is APRN04646 for Family in Rhode Island. Her current practice location is 712 Broad St, Providence. Patients can reach her at 401-233-5060. Jailene Wallace is FNP-C with specialization in Family and her NPI number (Unique professional ID assigned by NPPES) is 1891678702. Jailene Wallace delivers family-focused care which means she provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Jailene 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:
Jailene Wallace
Specialization:
Family Nurse Practitioner (FNP)
Gender:
Female
Credentials:
FNP-C
Practice Address:
712 Broad St, Providence, Rhode Island, 02907-1465
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:
1891678702
NPI Enumeration Date:
29 Jul, 2025
NPI Last Update On:
15 Sep, 2025
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jailene Wallace are as mentioned below.
License Number
Specialization
State
Status
APRN04646
Family
Rhode Island
Primary
APRN04646
Family Medicine
Rhode Island
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:
Jailene Wallace Po Box 746088, Atlanta, Georgia
Zip:
30374-6088
Patients can reach Jailene Wallace at 712 Broad St, Providence, Rhode Island or can call to book an appointment on 401-233-5060.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.