Search › Mississippi › 175T00000X
Shanna Walls
NPI 1700721651 · on the registry since 2026
Practice
- Address
- 103 Mccomb Ave
Port Gibson, MS 39150 - Phone
- (601) 747-5362
- Fax
- (601) 747-5362
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-20
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