Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHERITA DANIELLE WALLACE, NP
ActivePsychiatric/Mental Health Nurse Practitioner · MERIDIAN, MS
Registration Details
- NPI Number
- 1225502412
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2019 (7.2555587623376 yrs)
- Last Updated
- Jul 29, 2025
- Licenses
-
37389 (TN)3-002311 (AL)902938 (MS)
Practice Information
- Address
-
3514 HIGHWAY 39 N STE A&BMERIDIAN, MS, 393011305Browse MS providers · Browse ZIP 39301
- Phone
- 6015121310
- Fax
- 8339843427
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in MERIDIAN, MS
| Name | Credential | NPI |
|---|---|---|
| STACY RAE ANDREACCHIO | FPMHNP | 1700865235 |
| CINDY HERNANDEZ | APMHNP | 1952357154 |
| SUSAN D BOBO | — | 1053419820 |
| ROLANDA T PACE | DNP, APRN,BC | 1386703171 |
| KRISTIN THOMPSON KERLEY | FNP-BC, PNP-BC, NP-C | 1760527741 |
| TERESA ALEXANDER | — | 1699956318 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.