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Mrs. Karla Marie Wallace, FNP-C
Family Nurse Practitioner in Monticello, Mississippi
NPI 1740757145

Karla Marie Wallace is a Family Nurse Practitioner based in Monticello, MS and is specialized in Family. Karla Marie Wallace practices in Monticello, MS and has the professional credentials of FNP-C. The NPI Number for Karla Marie Wallace is 1740757145 and holds a License No. 902985 (Mississippi).

The current practice location address for Karla Marie Wallace is 314 Main St Ste B, Monticello, MS and can be reached out via phone at 601-587-4304.

Location: 314 Main St Ste B, Monticello, MS, 39654-3702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740757145
Provider Name
Karla Marie Wallace
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
314 Main St Ste B, Monticello, MS, 39654-3702
Phone Number
601-587-4304
Fax Number
Provider Enumeration Date
10/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
314 Main St Ste B
City
Monticello
State
Mississippi
Zip
39654-3702
Phone Number
601-587-4304
Fax Number
person
Provider Business Mailing Address Details
Address
314 Main St Ste B
City
Monticello
State
Mississippi
Zip
39654-3702
Phone Number
601-587-4304
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
902985 (Mississippi)
Definition
Definition to come...
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