HUONG TRAN WALLACE (NPI# 1306371216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306371216 |
| Entity Type | Individual |
| Full Name | HUONG TRAN WALLACE |
| Credential | FNP-C |
| Practice Address |
128 Highland Pkwy Ste 100 Picayune MS 39466-5578 |
| Mailing Address |
32 Clear Sky Dr Carriere MS 39426-7818 |
| Practice Telephone | 6015547400 |
| Mailing Telephone | (901) 487-5331 |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP09238 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | 901928 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 394018246 | 6015547400 | 6015547499 |
| Street Address |
128 HIGHLAND PKWY STE 100 |
| City | PICAYUNE |
| State | MS |
| Zip Code | 39466-5578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270684 | Ashley Royerre Talley | Speech-Language Pathologist | 621 W Canal St, Picayune, MS 39466 | 2016-12-21 |
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1578876280 | Joy A. Weidemann | Social Worker | 120 Street A Ste C, Picayune, MS 39466 | 2010-07-22 |
| 1407188477 | Picayune School District | Local Education Agency (LEA) | 706 Goodyear Blvd., Picayune, MS 39466 | 2010-02-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1124352505 | Stephanie Deanne Farrell | Speech-Language Pathologist | 201 E. Second Street, Picayune, MS 39466 | 2009-10-01 |
| 1902084007 | Ludwick L Lohnes Dc LLC | Chiropractor | 214 Norwood Street, Picayune, MS 39466 | 2008-01-31 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1669677431 | Terri L Bordelon | Social Worker | 214 N Curran, Suite A, Picayune, MS 39466 | 2007-06-20 |
| Find all providers in zip 39466 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415027 | Jennifer Lynne Kittler | Nurse Practitioner | 128 Highland Pkwy Ste 200, Picayune, MS 39466-5578 | 2019-03-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1124396403 | Bryan James Krieger | Nurse Practitioner | 1839 Cooper Rd Ste 100, Picayune, MS 39466-2835 | 2011-12-01 |
| 1427050418 | James L Denney | Nurse Practitioner | 12 Medical Plaza Blvd, Ste B, Picayune, MS 39466-9197 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1093323461 | Lauren Elizabeth Boone | Nurse Practitioner | 3415 Shiloh Ln, Southaven, MS 38672-6045 | 2020-07-21 |
| 1558979229 | Adrianne Amanda Anderson | Nurse Practitioner | 8390 Ansley Park Ln, Southaven, MS 38672-8340 | 2020-07-20 |
| 1295343028 | Latesha Rochelle Williams | Nurse Practitioner | 309 Mcswain Rd, New Augusta, MS 39462-9760 | 2020-07-17 |
| 1316565914 | Youchoose | Nurse Practitioner | 10071 Imc Rd, Aberdeen, MS 39730-8408 | 2020-07-09 |
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1376169920 | Brittany Linton | Nurse Practitioner | 149 Fountains Blvd, Madison, MS 39110-6344 | 2020-06-19 |
| 1356960777 | Jennifer M Hunter | Nurse Practitioner | 8970 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.