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Emerson Wallace, CFNP

NPI 1336251560 · on the registry since 2006 · sole proprietor

Practice

Address
1154 Cross Creek Dr
Saltillo, MS 38866
Phone
(662) 840-8010
Fax
(662) 840-2656
Organisation at this address
Family Urgent Care Clinic, Pa
Golden Triangle Urgent Care Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08
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