Individual provider · Type 1 NPI

Amy Wall

Family Nurse Practitioner · Jackson, MS

NPI number 1346751195 Active

Practice location

501 Marshall St Ste 104
Jackson, MS 39202-1663

Fax (601) 973-4541

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X902194 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1346751195

Amy Wall's National Provider Identifier is 1346751195, issued on Oct 19, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Jackson, MS. The record was last updated on Mar 12, 2018.