MR. Emerson Akalee Wallace, CFNP
NPI #1336251560 in Saltillo, Mississippi
Provider Information
- NPI Number
- 1336251560
- Entity Type
- Individual
- Name
- MR. Emerson Akalee Wallace, CFNP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CFNP
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1154 CROSS CREEK DR
- City
- Saltillo
- State
- Mississippi
- ZIP Code
- 38866-5777
- Phone
- (662) 840-8010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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