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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EMERSON AKALEE WALLACE, CFNP

Active Sole Proprietor

Family Nurse Practitioner · SALTILLO, MS

Registration Details

NPI Number
1336251560
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2006 (19.637586271029 yrs)
Last Updated
Jul 8, 2007
License
R759298 (MS)
Sole Proprietor
Yes

Practice Information

Address
1154 CROSS CREEK DR
SALTILLO, MS, 388665777
Browse MS providers · Browse ZIP 38866
Phone
6628408010
Fax
6628402656
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in SALTILLO, MS

Name Credential NPI
MRS. CINDY OLIVER HOLCOMB CFNP 1942276845
MRS. WENDY OLIVER HOWELL CFNP 1053387969
SARA TATE CFNP 1518111723
MRS. KATRINA WATKINS FRIELDS FNP-C 1083920987
MRS. SHARON KAY HARMON 1306191705
JAMIE ELIZABETH ROBINSON FNP-C 1760928097
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.