Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanne M Wallace, PHD

Individual provider Nutritionist · NPI 1285911032

Jeanne M Wallace, PHD is a Nutritionist in North Logan, Utah. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1697 E 3450 N
North Logan, UT 84341-8310
Phone: (435) 563-0053
Fax: (435) 538-8058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X

Record details

NPI number1285911032
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 8, 2011
Last updated in NPPESNovember 8, 2011