Jordan Wallace, PHARMD
NPI 1790538015 · Pediatric Hematology & Oncology Physician · Fort Myers, FL
Jordan Wallace, PHARMD is a Pediatric Hematology & Oncology Physician provider in Fort Myers, FL (NPI 1790538015).
Provider details
- NPI number
- 1790538015
- Entity type
- Individual
- Primary specialty
- Pediatric Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 9725 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Frequently asked questions
- What is Jordan Wallace's NPI number?
- Jordan Wallace's National Provider Identifier (NPI) is 1790538015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Wallace's specialty?
- Jordan Wallace is listed in the NPPES registry with a primary specialty of Pediatric Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Jordan Wallace located?
- Jordan Wallace's practice location on file with NPPES is 9981 S Healthpark Dr, Fort Myers, FL 33908-3618.
- What is Jordan Wallace's phone number?
- The practice phone number listed in the NPPES registry for Jordan Wallace is (239) 343-9163.
- Is Jordan Wallace's NPI active?
- Yes — Jordan Wallace's NPI (1790538015) is active in the NPPES registry as of the last update on 2024-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.