Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL NICHOLE WALLACE, NP-C
ActiveCRYSTAL NICHOLE WALLACE, NP-C is a Nurse Practitioner healthcare provider located in HATTIESBURG, Mississippi. NPI 1629550496 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · HATTIESBURG, MS
Registration Details
- NPI Number
- 1629550496
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2018 (7.9445335718064 yrs)
- Last Updated
- Jun 2, 2025
- License
-
902669 (MS)
Practice Information
- Address
-
7148 U S HIGHWAY 98 STE 102HATTIESBURG, MS, 394029133Browse MS providers · Browse ZIP 39402
- Phone
- 6014758270
- Fax
- 7692076209
- Primary Specialty
-
Nurse Practitioner
363L00000X
Other Nurse Practitioner Providers in HATTIESBURG, MS
| Name | Credential | NPI |
|---|---|---|
| LISA D MORGAN | FNP-BC | 1487631461 |
| MRS. LYNDA DENISE HARRISON | FNP | 1447208830 |
| MRS. LISA M BAILEY | FNP | 1487609871 |
| CHRISTIE LADNER | FNP | 1922049980 |
| MRS. REBECCA E SWAN | NP-C | 1932130960 |
| SHERRY L TULLOS | CNP | 1255440426 |
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.