What is Jonelle Wallace's NPI number?

Jonelle Wallace's National Provider Identifier (NPI) is 1417642364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jonelle Wallace's specialty?

Jonelle Wallace is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).

Where is Jonelle Wallace located?

Jonelle Wallace's practice location on file with NPPES is 10175 Little Patuxent Pkwy, Columbia, MD 21044-2655.

What is Jonelle Wallace's phone number?

The practice phone number listed in the NPPES registry for Jonelle Wallace is (800) 328-5979.

Is Jonelle Wallace's NPI active?

Yes — Jonelle Wallace's NPI (1417642364) is active in the NPPES registry as of the last update on 2023-04-06.

IndividualActive

Jonelle Wallace, APRN, NP-C

NPI 1417642364 · Nurse Practitioner · Columbia, MD

Jonelle Wallace, APRN, NP-C is a Nurse Practitioner provider in Columbia, MD (NPI 1417642364).

Provider details

NPI number: 1417642364
Entity type: Individual
Primary specialty: Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: APRN, NP-C
Sex: Female
Sole proprietor: No
License: 11314 (CT)

Specialties & taxonomies

Nurse PractitionerPrimary363L00000XLicense 11314 (CT)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(59/100 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
100% 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

10175 Little Patuxent Pkwy

Columbia, MD 21044-2655

Phone: (800) 328-5979

Street-level locationGet directions

More MD providers

Mailing address

Po Box 1459

Minneapolis, MN 55440-1459

Enumerated: 2023-04-06
Last updated: 2023-04-06
Certified: 2023-04-05

Frequently asked questions

What is Jonelle Wallace's NPI number?: Jonelle Wallace's National Provider Identifier (NPI) is 1417642364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Jonelle Wallace's specialty?: Jonelle Wallace is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
Where is Jonelle Wallace located?: Jonelle Wallace's practice location on file with NPPES is 10175 Little Patuxent Pkwy, Columbia, MD 21044-2655.
What is Jonelle Wallace's phone number?: The practice phone number listed in the NPPES registry for Jonelle Wallace is (800) 328-5979.
Is Jonelle Wallace's NPI active?: Yes — Jonelle Wallace's NPI (1417642364) is active in the NPPES registry as of the last update on 2023-04-06.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.