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

SUSAN R WALLACE

Active

SUSAN R WALLACE is a Family Nurse Practitioner healthcare provider located in HATTIESBURG, Mississippi. NPI 1740537687 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · HATTIESBURG, MS

Registration Details

NPI Number
1740537687
Provider Type
Individual
Gender
Female
NPI Issued
Aug 9, 2012 (14.02711712788 yrs)
Last Updated
Aug 10, 2012
License
R852101 (MS)

Practice Information

Address
100 METHODIST BLVD
HATTIESBURG, MS, 394021295
Browse MS providers · Browse ZIP 39402
Phone
6012686738
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in HATTIESBURG, MS

Name Credential NPI
MR. KEVIN C CLEARMAN CNFP 1477557098
MRS. SUSAN R OGLESBEE FNP 1750385365
KAREN 'KIM' KIMBROUGH HOWELL FNP-BC 1447237847
MARY DARLENE BOLTON FNP-BC 1346227741
ANNIE B GREEN FNP-BC 1881671931
SELENA CLEARMAN FNP-BC 1518944560
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.