{"npi":"1912945155","type":"NPI-1","status":"active","name":{"display":"Jacqueline Wallace Physician","other":[],"first":"JACQUELINE","last":"WALLACE","middle":"M","credential":"PHYSICIAN"},"specialty":{"primary_taxonomy":"207V00000X","primary_taxonomy_description":"Obstetrics & Gynecology","slug":"ob-gyn","schema_org_specialty":"Obstetric","all":[{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":"PA","license":"MD059921L"},{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":true,"state":"MD","license":"D0069282"}]},"addresses":[{"purpose":"LOCATION","street_1":"10910 LITTLE PATUXENT PKWY","city":"COLUMBIA","state":"MD","postal_code":"210443078","country_code":"US","street_2":"SUITE 100","phone":"4109978444"},{"purpose":"MAILING","street_1":"10910 LITTLE PATUXENT PKWY","city":"COLUMBIA","state":"MD","postal_code":"210443078","country_code":"US","street_2":"SUITE 100","phone":"4109978444"}],"license":{"state":"MD","number":"D0069282"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"101044156","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-07-01T15:01:53.235063+00:00","enrollments":[{"enrlmt_id":"I20091104000409","type_code":"14-16","type_desc":"PRACTITIONER - OBSTETRICS/GYNECOLOGY","state":"MD","pac_id":"2264403237"}]},"enumeration_date":"2006-06-02","last_updated":"2010-06-22","_meta":{"source":"NPPES","snapshot_date":"2010-06-22","doc_url":"https://findmynpi.com/api"}}