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Mrs. Sherita Danielle Wallace, NP
Psychiatric/Mental Health Nurse Practitioner in Meridian, Mississippi
NPI 1225502412

Sherita Danielle Wallace is a Psychiatric/Mental Health Nurse Practitioner based in Meridian, MS and is specialized in Psychiatric/Mental Health. Sherita Danielle Wallace practices in Meridian, MS and has the professional credentials of NP. The NPI Number for Sherita Danielle Wallace is 1225502412 and holds a License No. 902938 (Mississippi).

The current practice location address for Sherita Danielle Wallace is 3514 Highway 39 N Ste A&B, Meridian, MS and can be reached out via phone at 601-512-1310 and via fax at 833-984-3427.

Location: 3514 Highway 39 N Ste A&B, Meridian, MS, 39301-1305
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Provider Profile Details
NPI Number
1225502412
Provider Name
Sherita Danielle Wallace
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
3514 Highway 39 N Ste A&B, Meridian, MS, 39301-1305
Phone Number
601-512-1310
Fax Number
833-984-3427
Provider Enumeration Date
01/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00786527 05 MS
institution
Provider Business Practice Location Address Details
Address
3514 Highway 39 N Ste A&B
City
State
Zip
39301-1305
Phone Number
601-512-1310
Fax Number
833-984-3427
person
Provider Business Mailing Address Details
Address
3514 Highway 39 N Ste A&B
City
State
Zip
39301-1305
Phone Number
601-512-1310
Fax Number
833-984-3427
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
902938 (Mississippi)
Definition
Definition to come...
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