Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAILEY WALLACE
ActiveHAILEY WALLACE is a Community Health Nurse Practitioner healthcare provider located in PADUCAH, Kentucky. NPI 1669355566 is currently active in the NPPES registry. Verify at CMS.
Community Health Nurse Practitioner · PADUCAH, KY
Registration Details
- NPI Number
- 1669355566
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2025 (1.0810356355435 yrs)
- Last Updated
- Jul 28, 2025
- Licenses
-
4007951 (KY)4007951 (KY)
Practice Information
- Address
-
916 KENTUCKY AVEPADUCAH, KY, 420031977Browse KY providers · Browse ZIP 42003
- Phone
- 2704449631
- Fax
- 2704428769
- Primary Specialty
-
Community Health Nurse Practitioner
363LC1500X
- Additional Specialty
- Community Health Nurse Practitioner
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.