person
Mr. Emerson Akalee Wallace, CFNP
Family Nurse Practitioner in Saltillo, Mississippi
NPI 1336251560

Emerson Akalee Wallace is a Family Nurse Practitioner based in Saltillo, MS and is specialized in Family. Emerson Akalee Wallace practices in Saltillo, MS and has the professional credentials of CFNP. The NPI Number for Emerson Akalee Wallace is 1336251560 and holds a License No. R759298 (Mississippi).

The current practice location address for Emerson Akalee Wallace is 1154 Cross Creek Dr, Saltillo, MS and can be reached out via phone at 662-840-8010 and via fax at 662-840-2656.

Location: 1154 Cross Creek Dr, Saltillo, MS, 38866
person
Provider Profile Details
NPI Number
1336251560
Provider Name
Emerson Akalee Wallace
Credential
CFNP
Provider Entity Type
Individual
Gender
Male
Address
1154 Cross Creek Dr, Saltillo, MS, 38866
Phone Number
662-840-8010
Fax Number
662-840-2656
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0117978 05 MS
institution
Provider Business Practice Location Address Details
Address
1154 Cross Creek Dr
City
State
Zip
38866-5777
Phone Number
662-840-8010
Fax Number
662-840-2656
person
Provider Business Mailing Address Details
Address
1154 Cross Creek Dr
City
State
Zip
38866-5777
Phone Number
662-840-8010
Fax Number
662-840-2656
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R759298 (Mississippi)
Definition
Definition to come...
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