Individual provider · Type 1 NPI
Andrea Wallace, FNP-C
Family Nurse Practitioner · Olive Branch, MS
NPI number
1497414213
Active
Practice location
5041 Goswell Cv
Olive Branch, MS 38654-9189
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 30782 (TN) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Olive Branch
- Brittany Nikita Carper, NPFamily Nurse Practitioner Olive Branch, MS NPI 1023687910
- Misty Moore Ivy, C.R.N.P.Family Nurse Practitioner Olive Branch, MS NPI 1063465482
- Kori Swearengen, FNP-BCFamily Nurse Practitioner Olive Branch, MS NPI 1093139214
- Queen McGhee, APNFamily Nurse Practitioner Olive Branch, MS NPI 1093191751
- Virginia Holmes, FNPFamily Nurse Practitioner Olive Branch, MS NPI 1134543820
- Roslyn Raquel Perry, NPFamily Nurse Practitioner Olive Branch, MS NPI 1215418439
- Allison Tucker McCulleyFamily Nurse Practitioner Olive Branch, MS NPI 1215705488
- Charla F. Wilson, FNPFamily Nurse Practitioner Olive Branch, MS NPI 1225027832
About NPI 1497414213
Andrea Wallace, FNP-C's National Provider Identifier is 1497414213, issued on Dec 9, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Olive Branch, MS. The record was last updated on Jul 6, 2023.