Kenitra Wallace, FNP
NPI #1891218046 in Natchez, Mississippi
Provider Information
- NPI Number
- 1891218046
- Entity Type
- Individual
- Name
- Kenitra Wallace, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jul 19, 2017
- Last Updated
- May 23, 2018
Practice Location
- Address
- 145 HOMOCHITTO ST
- City
- Natchez
- State
- Mississippi
- ZIP Code
- 39120
- Phone
- (601) 442-4863
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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