Search › Mississippi › 363LF0000X
Andrea Wallace, FNP-C
NPI 1497414213 · on the registry since 2021
Practice
- Address
- 5041 Goswell Cv
Olive Branch, MS 38654 - Phone
- (901) 517-2555
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-06
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