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Jackylin Wallace
NPI 1073247912 · Community Health Worker · Lake Isabella, CA
Jackylin Wallace is a Community Health Worker provider in Lake Isabella, CA (NPI 1073247912).
Provider details
- NPI number
- 1073247912
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2731 Nugget Ave
Lake Isabella, CA 93240-9456
Phone: (760) 379-3412
Fax: (760) 379-5332
Street-level locationGet directions
Mailing address
Po Box 2632
Lake Isabella, CA 93240-2632
Registry dates
- Enumerated
- 2022-07-15
- Last updated
- 2023-08-15
- Certified
- 2023-08-15
Frequently asked questions
- What is Jackylin Wallace's NPI number?
- Jackylin Wallace's National Provider Identifier (NPI) is 1073247912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackylin Wallace's specialty?
- Jackylin Wallace is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Jackylin Wallace located?
- Jackylin Wallace's practice location on file with NPPES is 2731 Nugget Ave, Lake Isabella, CA 93240-9456.
- What is Jackylin Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jackylin Wallace is (760) 379-3412.
- Is Jackylin Wallace's NPI active?
- Yes — Jackylin Wallace's NPI (1073247912) is active in the NPPES registry as of the last update on 2023-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.