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Search › Mississippi › Licensed Practical Nurse

Edna Wallace, LPN

NPI 1255274411 · on the registry since 2026

Practice

Address
1555 N. Main Street
Fayette, MS 39069
Phone
(601) 786-8091
Fax
(601) 786-8023
Clinicians at this address
4

Registry record

Primary taxonomy
Licensed Practical Nurse
164W00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-13
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi