Individual
HANA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1005A CITY AVE N, RIPLEY, MS 38663-1414
(662) 837-2202
Mailing address
1410 HALL DR, RIPLEY, MS 38663-1007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
908240
MS
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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