Active NPIIndividual providerSole proprietor

Jennifer Waller, FNP

Nurse Practitioner, Family in Sparta, New Jersey

NPI Number1366309429
Practice location
77 Stanhope RD, Sparta, NJ 07871-2238
Fax
—
Last updated
January 8, 2026

Jennifer Waller is a Nurse Practitioner, Family based in Sparta, NJ. Jennifer Waller practices in Sparta, NJ and has the professional credentials of FNP. The NPI Number for Jennifer Waller is 1366309429 and holds a License No. 26NJ15470600 (NJ). The current practice location address for Jennifer Waller is 77 Stanhope RD, Sparta, NJ 07871-2238 and can be reached out via phone at 201-245-0599.

Provider Profile Details

NPI Number
1366309429
Provider Name
Jennifer Waller
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
77 Stanhope RD, Sparta, NJ 07871-2238
Phone Number
201-245-0599
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2026
Last Update Date
January 8, 2026
Certification Date
January 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Stanhope RD
Sparta, NJ 07871-2238
City
Sparta
Zip
07871-2238
Phone Number
201-245-0599
Sparta, NJ 07871Get directions →

Provider Business Mailing Address Details

Address
77 Stanhope RD
Sparta, NJ 07871-2238
City
Sparta
State
NJ
Zip
07871-2238
Phone Number
201-245-0599

License Information

License Number
26NJ15470600
License State
NJ
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Waller, FNP?

The NPI number of Jennifer Waller, FNP is 1366309429. It was assigned on January 8, 2026 and is currently active in the NPPES registry.

What is the specialty of Jennifer Waller, FNP?

Jennifer Waller, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ15470600.

Where does Jennifer Waller, FNP practice?

The practice location is 77 Stanhope RD, Sparta, NJ 07871-2238. The office can be reached at 201-245-0599 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366309429 directly on the NPPES registry website.

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