Individual provider · Type 1 NPI
Hailey Wallace
Community Health Nurse Practitioner · Paducah, KY
NPI number
1669355566
Active
Practice location
916 Kentucky Ave
Paducah, KY 42003-1977
Fax (270) 442-8769
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 4007951 (KY) |
| Community Health Nurse Practitioner Primary | 363LC1500X | 4007951 (KY) |
Community Health Nurse Practitioner: Definition to come...
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About NPI 1669355566
Hailey Wallace's National Provider Identifier is 1669355566, issued on Jul 28, 2025. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Paducah, KY. The record was last updated on Jul 28, 2025.