JACLYN RENEE WALLACE NNP-BC
NPI 1326572801
Nurse Practitioner - Neonatal, Critical Care in Atlanta, GA

NPI Status: Active since April 12, 2017

Contact Information

1711 TULLIE CIR NE
ATLANTA, GA
ZIP 30329
Phone: (404) 785-5413
Fax: (404) 785-6233

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  • Individual
  • Female
  • Nurse Practitioner
  • Neonatal, Critical Care

About JACLYN WALLACE

This page provides the complete NPI Profile along with additional information for Jaclyn Wallace, a provider established in Atlanta, Georgia with a medical specialization in Nurse Practitioner, focusing in neonatal, critical care . The healthcare provider is registered in the NPI registry with number 1326572801 assigned on April 2017. The practitioner's primary taxonomy code is 363LN0005X with license number RN211895 (GA). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1326572801
Provider Name
JACLYN RENEE WALLACE NNP-BC
Gender
Female
Entity Type
Individual
Location Address
1711 TULLIE CIR NE ATLANTA, GA 30329
Location Phone
(404) 785-5413
Location Fax
(404) 785-6233
Mailing Address
1711 TULLIE CIR NE ATLANTA, GA 30329
Mailing Phone
(404) 785-5413
Mailing Fax
(404) 785-6233
Is Sole Proprietor?
Yes
Enumeration Date
04-12-2017
Last Update Date
04-12-2017
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A nurse practitioner (NP) like Jaclyn Wallace is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Neonatal, Critical Care

Taxonomy Code
363LN0005X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN211895
License State
GA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1326572801
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2346107480
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 4 + 6 + 1 + 0 + 7 + 4 + 8 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1326572801 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538577945 TONYA R SELFRIDGE RN, NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-7283
1154705978 SPENCER LEE
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-5413
1437518032MS. KATHERINE MCGINNIS NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-5413
1205384211MS. JEANENE HILL BOWMAN NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-5413
1689125023 MELISSA SUE PICHETTO NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-5413
1083156848 KATHERINE GRUBER STEPHENSON NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-5413
1245779149 CAITLIN EZZELL
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-5413
1164935326 SALINA PATEL
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-5413
1669962684 HILARY ANTLEY JONES NNP
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-5413
1326465659 SONYA MCLAUGHLIN RN, NNP-BC
Individual
Nurse Practitioner1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-7283
1932721461 ASHLEY MURRY NNP-BC
Individual
Nurse Practitioner (Neonatal, Critical Care)1711 TULLIE CIR NE
ATLANTA, GA 30329
(404) 785-6233

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326572801, enumerated in the NPI registry as an "individual" on April 12, 2017

The provider is located at 1711 Tullie Cir Ne Atlanta, Ga 30329 and the phone number is (404) 785-5413

The provider's speciality is Nurse Practitioner with taxonomy code 363LN0005X with a focus in Neonatal, Critical Care

This NPI record was last updated on April 12, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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