Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELLEN EASLEY WALLACE, CDE, RD, LD
Active Sole ProprietorMRS. ELLEN EASLEY WALLACE, CDE, RD, LD is a Registered Dietitian healthcare provider located in STARKVILLE, Mississippi. NPI 1700178779 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · STARKVILLE, MS
Registration Details
- NPI Number
- 1700178779
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2011 (15.222038023662 yrs)
- Last Updated
- May 10, 2011
- License
-
D1317 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
103 STARR AVE APT 66STARKVILLE, MS, 397594058Browse MS providers · Browse ZIP 39759
- Phone
- 6624181184
- Primary Specialty
-
Registered Dietitian
133V00000X
Other Registered Dietitian Providers in STARKVILLE, MS
| Name | Credential | NPI |
|---|---|---|
| KELLY M WHITE | MS, RD, LD | 1225141179 |
| MRS. AMANDA GLADNEY CONRAD | M.S., R.D., L.D. | 1780714808 |
| MRS. KIMBERLY N YEATMAN | RD, LD | 1982726915 |
| MS. CHRISTY MICHELLE MOORE | RD | 1992004345 |
| MAE PALINA CLARK | RD | 1609117514 |
| TAYLOR ALEXA VANDYK | MS, RDN, LD, CHES | 1376125450 |
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.