Sherita Danielle Wallace (NPI# 1225502412, PAC ID# 6103168083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225502412 |
| PAC ID by PECOS | 6103168083 |
| Professional Enrollment ID | I20190424001787 |
| Full Name | Sherita Danielle Wallace |
| Organization Legal Name | IN TOUCH PSYCHOLOGICAL SERVICES LLC |
| Address |
2502 9th St Meridian MS 39301-4939 |
| Phone Number | 6017818677 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4880970136 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2502 9th St, Meridian, MS 39301-4939 | 6017818677 | IN TOUCH PSYCHOLOGICAL SERVICES LLC |
| 2502 9th St, Meridian, MS 39301-4939 | 6015120927 | INTOUCH HEALTH |
| 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 | 6017818677 | IN TOUCH PSYCHOLOGICAL SERVICES LLC |
| Organization Legal Name | IN TOUCH PSYCHOLOGICAL SERVICES LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica D Flake | Nurse Practitioner | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Veronica Knowles | Clinical Social Worker | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Lowell Wallace | Clinical Social Worker | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Street Address |
2502 9TH ST |
| City | MERIDIAN |
| State | MS |
| Zip | 39301-4939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Skye Nichole Carlisle | Nurse Practitioner | Intouch Health | 2502 9th St, Meridian, MS 39301-4939 |
| Tabitha Conklin | Nurse Practitioner | Intouch Health | 2502 9th St, Meridian, MS 39301-4939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey L Mcgilbra | Psychiatry | 5000 Hwy 39 N, Meridian, MS 39301-0210 | |
| Anna A Wile | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Vanessa Norman | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Miyako Mccloud | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Britney Deon Kersh | Nurse Practitioner | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Richard A Nance | Family Medicine | Kemper Cah, Inc. | 4331 Hwy 39 N, Meridian, MS 39301-1007 |
| Emily Kate Matthews | Dermatology | Medical Foundation Inc | 4331 Hwy 39 N A, Center for Dermatology, Meridian, MS 39301-1007 |
| Jonathan D Baker | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Particia L Dudley | Psychiatry | Psychology Associates, LLC | 5004 Hwy 39 N, Meridian, MS 39301-1021 |
| Justin A Jones | Psychiatry | Alliance Health Center Inc | 5000 Hwy 39 N, Meridian, MS 39301-1021 |
| Find all physicians in zip 39301 | |||
| City | MERIDIAN |
| Zip Code | 39301 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MERIDIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sherita Danielle Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.