What is Jesse Wallace's NPI number?

Jesse Wallace's National Provider Identifier (NPI) is 1568531416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jesse Wallace's specialty?

Jesse Wallace is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).

Where is Jesse Wallace located?

Jesse Wallace's practice location on file with NPPES is 1138 Waterfall Ln, Lenoir, NC 28645-8943.

What is Jesse Wallace's phone number?

The practice phone number listed in the NPPES registry for Jesse Wallace is (702) 102-7922.

Is Jesse Wallace's NPI active?

Yes — Jesse Wallace's NPI (1568531416) is active in the NPPES registry as of the last update on 2019-06-06.

IndividualActive

Jesse Wallace, M.D.

NPI 1568531416 · Internal Medicine Physician · Lenoir, NC

Jesse Wallace, M.D. is a Internal Medicine Physician provider in Lenoir, NC (NPI 1568531416).

Provider details

NPI number: 1568531416
Entity type: Individual
Primary specialty: Internal Medicine PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 19466 (KY)

Specialties & taxonomies

Internal Medicine PhysicianPrimary207R00000XLicense 19466 (KY)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 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

1138 Waterfall Ln

Lenoir, NC 28645-8943

Phone: (702) 102-7922

Street-level locationGet directions

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Mailing address