IndividualActive
Jacqueline Wallace, RN
NPI 1710920376 · Registered Nurse · Providence, RI
Jacqueline Wallace, RN is a Registered Nurse provider in Providence, RI (NPI 1710920376).
Provider details
- NPI number
- 1710920376
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- RN12564 (RI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
530 N Main St
Providence, RI 02904-5762
Phone: (401) 276-4100
Street-level locationGet directions
Mailing address
528 N Main St
Providence, RI 02904-5757
Registry dates
- Enumerated
- 2006-06-13
- Last updated
- 2008-07-25
Frequently asked questions
- What is Jacqueline Wallace's NPI number?
- Jacqueline Wallace's National Provider Identifier (NPI) is 1710920376, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Wallace's specialty?
- Jacqueline Wallace is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Jacqueline Wallace located?
- Jacqueline Wallace's practice location on file with NPPES is 530 N Main St, Providence, RI 02904-5762.
- What is Jacqueline Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Wallace is (401) 276-4100.
- Is Jacqueline Wallace's NPI active?
- Yes — Jacqueline Wallace's NPI (1710920376) is active in the NPPES registry as of the last update on 2008-07-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.