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Crystal Wallace, NP-C
NPI 1629550496 · on the registry since 2018
Practice
- Address
- 7148 U S Highway 98 Ste 102
Hattiesburg, MS 39402 - Phone
- (601) 475-8270
- Fax
- (769) 207-6209
- Organisation at this address
- Hattiesburg Clinic Pa
Hattiesburg Clinic, PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Additional practice sites
- 106 Asbury Cir, Hattiesburg, MS
- 50 Parkway Ln Ste B, Petal, MS
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-02
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