Individual provider · Type 1 NPI

Kristen Wallace, FNP-C

Family Nurse Practitioner · Flowood, MS

NPI number 1679019350 Active

Practice location

2470 Flowood Dr
Flowood, MS 39232-9019

Fax (601) 932-8869

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X901914 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1679019350

Kristen Wallace, FNP-C's National Provider Identifier is 1679019350, issued on Jan 18, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Flowood, MS. The record was last updated on Jan 18, 2017.