Individual provider · Type 1 NPI

Karla Marie Wallace, FNP-C

Family Nurse Practitioner · Monticello, MS

NPI number 1740757145 Active

Practice location

314 Main St Ste B
Monticello, MS 39654-3702

Call (601) 587-4304 Map

Other practice locations

  • 2824 Dena Ln SW, Bogue Chitto, MS 39629-6000 · (601) 320-2096

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X902985 (MS)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Other family nurse practitioner providers in Monticello

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About NPI 1740757145

Karla Marie Wallace, FNP-C's National Provider Identifier is 1740757145, issued on Oct 24, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Monticello, MS. The record was last updated on Apr 28, 2019.