Wallace, Kristen
Wallace, Kristen is an individual health care provider with primary practice located at 2470 Flowood Dr , Flowood MS 39232-9019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wallace, Kristen can be contacted via phone (601) 664-1213.Contact Information
Primary practice address
2470 Flowood Dr
Flowood MS 39232-9019
Phone: (601) 664-1213
Fax: (601) 932-8869
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 901914 | Mississippi |
Profile Details
| NPI number | 1679019350 |
|---|---|
| LBN Legal business name | Wallace, Kristen |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2017 |
| Last updated | Jan 18th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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